Laparoscopic management of an internal double omental hernia: a rare cause of intestinal obstruction.
BACKGROUND
Internal hernia is a very rare cause of intestinal obstruction (0.2-0.9% of cases), associated with 45% mortality. A review of the literature revealed just eight reported cases of double omental hernia since 1950 of which our patient is the first case successfully treated laparoscopically.


METHODS
We report on a 29-year-old man who presented with signs and symptoms of intestinal obstruction. The patient underwent emergent exploratory laparoscopy. This revealed herniation of a 20-cm jejunal loop through the gastrocolic ligament and reemergence through a defect in the gastrohepatic ligament. The strangulated loop was reduced with slight traction, and the defect was repaired. The patient was discharged from hospital in just 5 days' time, and after 6 months of follow-up, the general condition of the patient was normal.


CONCLUSIONS
Laparoscopy is a good technique with minimal complications compared with laparotomy. As many cases are missed due to nonspecific signs and symptoms, an urgent laparoscopy or laparotomy is highly recommended in such a situation.
Talebpour
M
M
Department of Surgery, Sina Hospital Tehran University of Medical Sciences, Tehran, Iran.
Habibi
G R
GR
Bandarian
F
F
D000328:Adult; D005500:Follow-Up Studies; D046449:Hernia, Abdominal / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007579:Jejunal Diseases / Q000209:etiology* / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D009852:Omentum / Q000503:physiopathology; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome