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Strangulated transomental hernia: CT findings
E Delabrousse1, M Couvreur, O Saguet
1Service de Radiologie A, CHU Jean Minjoz, 3 bvd A. Fleming, 25000 Besançon, France.
Abdominal Imaging
|December 16, 2000
Summary
A rare internal abdominal hernia caused small bowel strangulation through a greater omentum defect. Computed tomography accurately identified this unusual condition, aiding surgical confirmation and treatment.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Radiology
Background:
- Internal abdominal hernias are uncommon causes of bowel obstruction.
- Defects in the greater omentum can lead to internal herniation, though rarely.
- Small bowel strangulation presents a surgical emergency requiring prompt diagnosis.
Observation:
- A case of strangulated small bowel was observed.
- The herniation occurred through a defect in the greater omentum.
Findings:
- Computed tomography (CT) precisely located the internal hernia.
- Surgical intervention confirmed the strangulation and the anatomical defect.
Implications:
- Highlights the importance of advanced imaging in diagnosing rare hernias.
- Underscores the potential for omental defects to cause life-threatening bowel complications.