Double Omental Hernia—Case Report on a Very Rare Cause of Intestinal Obstruction



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    Introduction: We report a case of transomental herniation of the ileum through a defect in the gastrocolic ligament with re-emergence through a defect in the gastrohepatic ligament. This type of herniation is extremely rare and a review of the literature is presented.

    Clinical Presentation: A 41-year-old Chinese male presented with signs and symptoms of intestinal obstruction.

    Treatment: An urgent laparotomy was undertaken and he was found to have a rare form of intra-abdominal hernia. The hernia was reduced and the defects were closed.

    Outcome: Postoperative recovery was unremarkable.

    Conclusion: Urgent operation should not be delayed because of the high mortality associated with strangulation.

    Internal hernia is defined as the protrusion of a viscus through a normal or abnormal opening within the confines of the abdominal cavity. This unusual cause of intestinal obstruction occurs in 4% of all cases of acute intestinal obstruction.

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