title: Adhesional omental hernia: A case report.
abstract: BACKGROUND
  Omental hernias are rare and difficult to diagnose preoperatively due to a lack of specific symptoms.
  
  
  METHODS
  We report a case of adhesional omental hernia diagnosed at laparoscopy. A 38 year-old female patient with evidence of a previous caesarean section presented with an acute abdomen. We found there were omental bands stuck onto the anterior wall of the uterus, and a loop of small bowel passing through the subsequent omental defect was dilated proximally without oedema. We performed laparoscopic exploration. We saw that there were omental bands stuck onto the anterior wall of the uterus, this was partially narrowing a segment of ileum. We also saw that the proximal bowel loop occupying the omental defect was dilated without oedema.
  
  
  CONCLUSIONS
  This is an uncommon cause of an acute abdomen, but should be kept in mind as a differential diagnosis, especially in patients with a surgical history.
authors.affiliation: Department of Obstetrics & Gynecology, ASO Iizuka Hospital, 3-83 Yoshio-machi, Iizuka, Fukuoka, 820-8505, Japan.
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Fukami
authors.affiliation: Department of Obstetrics & Gynecology, ASO Iizuka Hospital, 3-83 Yoshio-machi, Iizuka, Fukuoka, 820-8505, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Tsujioka
authors.affiliation: Department of Obstetrics & Gynecology, ASO Iizuka Hospital, 3-83 Yoshio-machi, Iizuka, Fukuoka, 820-8505, Japan.
authors.forename: Maki
authors.initials: M
authors.lastname: Goto
authors.affiliation: Department of Obstetrics & Gynecology, ASO Iizuka Hospital, 3-83 Yoshio-machi, Iizuka, Fukuoka, 820-8505, Japan.
authors.forename: Ryoei
authors.initials: R
authors.lastname: Matsuoka
authors.affiliation: Department of Obstetrics & Gynecology, ASO Iizuka Hospital, 3-83 Yoshio-machi, Iizuka, Fukuoka, 820-8505, Japan.
authors.forename: Sumie
authors.initials: S
authors.lastname: Nakamura
authors.affiliation: Department of Obstetrics & Gynecology, ASO Iizuka Hospital, 3-83 Yoshio-machi, Iizuka, Fukuoka, 820-8505, Japan.
authors.forename: Miyoko
authors.initials: M
authors.lastname: Miyagawa
authors.affiliation: Department of Obstetrics & Gynecology, ASO Iizuka Hospital, 3-83 Yoshio-machi, Iizuka, Fukuoka, 820-8505, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Mori
authors.affiliation: Department of Obstetrics & Gynecology, ASO Iizuka Hospital, 3-83 Yoshio-machi, Iizuka, Fukuoka, 820-8505, Japan.
authors.forename: Fuyuki
authors.initials: F
authors.lastname: Eguchi
keywords: Acute abdomen; Adhesion; Ileus; Laparoscopy; Omental hernia