Laparoscopic surgery for two patients with strangulated transomental hernias
Abstract Background Transomental hernias are a rare type of internal hernia. We report two cases of successful cases of laparoscopic repair. One required laparotomy due to concern for intestinal viability. Case presentation The first patient was a 67-year-old man who presented with abdominal pain an...
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| Format: | Article |
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Japan Surgical Society
2020-03-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-020-00815-y |
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| author | Yuka Fujimoto Yuki Ohya Shintaro Hayashida Masayoshi Iizaka Yuto Maeda Sayahito Kumamoto Akira Tsuji Hidekatsu Shibata Kunitaka Kuramoto Hironori Hayashi Osamu Nakahara Shinjiro Tomiyasu Yukihiro Inomata |
| author_facet | Yuka Fujimoto Yuki Ohya Shintaro Hayashida Masayoshi Iizaka Yuto Maeda Sayahito Kumamoto Akira Tsuji Hidekatsu Shibata Kunitaka Kuramoto Hironori Hayashi Osamu Nakahara Shinjiro Tomiyasu Yukihiro Inomata |
| author_sort | Yuka Fujimoto |
| collection | DOAJ |
| description | Abstract Background Transomental hernias are a rare type of internal hernia. We report two cases of successful cases of laparoscopic repair. One required laparotomy due to concern for intestinal viability. Case presentation The first patient was a 67-year-old man who presented with abdominal pain and vomiting. He had no history of laparotomy or abdominal injury. Computed tomography suggested small bowel obstruction and possible intestinal strangulation. Emergent laparoscopy found approximately 200 cm of small bowel was strangulated around the greater omentum. The strangulation was released laparoscopically, but because of the color of the strangulated bowel, laparotomy was performed to evaluate viability. The involved portion of intestine was not resected. The patient experienced transient postoperative paralytic ileus and was discharged on postoperative day 14. The second patient was a 56-year-old man who presented with abdominal pain. Abdominal computed tomography revealed dilatation of the small intestine and a closed loop suggesting ileus due to intestinal strangulation. An emergency laparoscopy found a transomental hernia, and the strangulation was released laparoscopically. Recovery was uneventful, and the patient was discharged on postoperative day 6. Conclusion Transomental hernia can be successfully treated laparoscopically. In cases where bowel viability is a concern, laparotomy should not be hesitated. |
| format | Article |
| id | doaj-art-890f936feb5d4841809f2ed569ed4e83 |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2020-03-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-890f936feb5d4841809f2ed569ed4e832025-08-20T03:56:58ZengJapan Surgical SocietySurgical Case Reports2198-77932020-03-01611410.1186/s40792-020-00815-yLaparoscopic surgery for two patients with strangulated transomental herniasYuka Fujimoto0Yuki Ohya1Shintaro Hayashida2Masayoshi Iizaka3Yuto Maeda4Sayahito Kumamoto5Akira Tsuji6Hidekatsu Shibata7Kunitaka Kuramoto8Hironori Hayashi9Osamu Nakahara10Shinjiro Tomiyasu11Yukihiro Inomata12Department of Surgery, Kumamoto Rosai HospitalDepartment of Surgery, Kumamoto Rosai HospitalDepartment of Surgery, Kumamoto Rosai HospitalDepartment of Surgery, Kumamoto Rosai HospitalDepartment of Surgery, Kumamoto Rosai HospitalDepartment of Surgery, Kumamoto Rosai HospitalDepartment of Surgery, Kumamoto Rosai HospitalDepartment of Surgery, Kumamoto Rosai HospitalDepartment of Surgery, Kumamoto Rosai HospitalDepartment of Surgery, Kumamoto Rosai HospitalDepartment of Surgery, Kumamoto Rosai HospitalDepartment of Surgery, Kumamoto Rosai HospitalDepartment of Surgery, Kumamoto Rosai HospitalAbstract Background Transomental hernias are a rare type of internal hernia. We report two cases of successful cases of laparoscopic repair. One required laparotomy due to concern for intestinal viability. Case presentation The first patient was a 67-year-old man who presented with abdominal pain and vomiting. He had no history of laparotomy or abdominal injury. Computed tomography suggested small bowel obstruction and possible intestinal strangulation. Emergent laparoscopy found approximately 200 cm of small bowel was strangulated around the greater omentum. The strangulation was released laparoscopically, but because of the color of the strangulated bowel, laparotomy was performed to evaluate viability. The involved portion of intestine was not resected. The patient experienced transient postoperative paralytic ileus and was discharged on postoperative day 14. The second patient was a 56-year-old man who presented with abdominal pain. Abdominal computed tomography revealed dilatation of the small intestine and a closed loop suggesting ileus due to intestinal strangulation. An emergency laparoscopy found a transomental hernia, and the strangulation was released laparoscopically. Recovery was uneventful, and the patient was discharged on postoperative day 6. Conclusion Transomental hernia can be successfully treated laparoscopically. In cases where bowel viability is a concern, laparotomy should not be hesitated.http://link.springer.com/article/10.1186/s40792-020-00815-yTransomental herniaInternal herniaLaparoscopic surgeryIntestinal viabilityOmentum |
| spellingShingle | Yuka Fujimoto Yuki Ohya Shintaro Hayashida Masayoshi Iizaka Yuto Maeda Sayahito Kumamoto Akira Tsuji Hidekatsu Shibata Kunitaka Kuramoto Hironori Hayashi Osamu Nakahara Shinjiro Tomiyasu Yukihiro Inomata Laparoscopic surgery for two patients with strangulated transomental hernias Surgical Case Reports Transomental hernia Internal hernia Laparoscopic surgery Intestinal viability Omentum |
| title | Laparoscopic surgery for two patients with strangulated transomental hernias |
| title_full | Laparoscopic surgery for two patients with strangulated transomental hernias |
| title_fullStr | Laparoscopic surgery for two patients with strangulated transomental hernias |
| title_full_unstemmed | Laparoscopic surgery for two patients with strangulated transomental hernias |
| title_short | Laparoscopic surgery for two patients with strangulated transomental hernias |
| title_sort | laparoscopic surgery for two patients with strangulated transomental hernias |
| topic | Transomental hernia Internal hernia Laparoscopic surgery Intestinal viability Omentum |
| url | http://link.springer.com/article/10.1186/s40792-020-00815-y |
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