title: [A rare cause of small intestinal obstruction: Spontaneous strangulated trans-omental hernia].
abstract: Internal herniation is a very rare condition which can cause small bowel obstruction. Trans-omental hernias are an infrequent form of internal herniation and can be seen without a history of trauma and previous abdominal surgery. An 85-year-old male patient without a history of abdominal surgery or trauma was admitted to the emergency service with severe abdominal pain and vomiting. Physical examination and laboratory tests revealed a diagnosis of ileus. During laparotomy, a trans-omental hernia causing strangulation of the ileum was detected. Resection-anastomosis was performed and the omental defect was disrupted by partial omentectomy. Although trans-omental hernia is a very rare condition, it should be considered in the differential diagnosis of patients without mechanic intestinal obstruction.
authors.affiliation: Department of General Surgery, Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey. birolagca@yahoo.com.
authors.forename: Birol
authors.initials: B
authors.lastname: Ağca
authors.affiliation: Department of General Surgery, Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey.
authors.forename: Aziz Bora
authors.initials: AB
authors.lastname: Karip
authors.affiliation: Department of General Surgery, Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey.
authors.forename: Yalın
authors.initials: Y
authors.lastname: İşcan
authors.affiliation: Department of General Surgery, Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey.
authors.forename: Yetkin
authors.initials: Y
authors.lastname: Özcabı
authors.affiliation: Department of General Surgery, Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey.
authors.forename: Mehmet Mahir
authors.initials: MM
authors.lastname: Fersahoğlu
authors.affiliation: Department of General Surgery, Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey.
authors.forename: Kemal
authors.initials: K
authors.lastname: Memişoğlu
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D006547:Hernia / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006760:Hospitalization; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D007421:Intestine, Small / Q000473:pathology*; D007813:Laparotomy; D008297:Male; D009852:Omentum / Q000473:pathology*; D011859:Radiography