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Hernia
Published in: Hernia 2/2005

01-05-2005 | Case Report

Laparoscopic management of an internal double omental hernia: A rare cause of intestinal obstruction

Authors: M. Talebpour, G. R. Habibi, F. Bandarian

Published in: Hernia | Issue 2/2005

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Abstract

Introduction

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.

Case presentation

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.
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Metadata
Title
Laparoscopic management of an internal double omental hernia: A rare cause of intestinal obstruction
Authors
M. Talebpour
G. R. Habibi
F. Bandarian
Publication date
01-05-2005
Publisher
Springer-Verlag
Published in
Hernia / Issue 2/2005
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-004-0288-4

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