Lesser sac herniation through the greater omentum and gastro-pancreatic ligament: report of a case.
We report herein the case of a woman who developed a lesser sac hernia which was especially unusual in that the small bowel prolapsed through a defect in the greater omentum and was thereafter strangulated by a hole in the gastro-pancreatic ligament. The gastro-pancreatic ligament has never before been documented as causing an internal hernia. In our patient, a plain abdominal X-ray demonstrated as soft-tissue mass displacing the stomach to the left while abdominal computed tomography and ultrasonography showed a sac-like encapsulation of the small bowel loops between the liver and stomach. Careful evaluation of these radiographic findings allowed for the preoperative diagnosis of a lesser sac hernia to be made.
Tsutsui
S
S
Department of Surgery, Munakata Medical Association Hospital, Japan.
Kitamura
M
M
Shirabe
K
K
Tomoda
M
M
Ohmori
M
M
Yoshida
M
M
D000328:Adult; D005260:Female; D006552:Hernia, Inguinal / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D008022:Ligaments / Q000000981:diagnostic imaging / Q000601:surgery; D009852:Omentum / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography