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A spontaneous strangulated transomental hernia: Prospective and retrospective multi-detector computed tomography findings
Luigi Camera, Angela De Gennaro, Margaret Longobardi, Emanuela Calabrese, Marco Salvatore, Department of Radiology, University “Federico II”, 80131 Naples, Italy
Luigi Camera, Walter Del Vecchio, Institute of Biostructures and Bioimaging (C.N.R.) University “Federico II”, 80131 Naples, Italy
Stefania Masone, Giovanni Persico, Department of General and Geriatric Surgery, University “Federico II”, 80131 Naples, Italy
Author contributions: Camera L designed the report and revised the manuscript; De Gennaro A drafted the manuscript; Masone S and Persico G performed the laparotomy; Longobardi M and Calabrese E performed the literature search; Del Vecchio W observed the case; Salvatore M edited the manuscript.
Correspondence to: Luigi Camera, MD, Department of Radiology, University “Federico II”, Via S. Pansini 5, 80131 Naples, Italy. camera@unina.it
Telephone: +39-81-7463560 Fax: +39-81-5457081
Received: October 14, 2013
Revised: December 23, 2013
Accepted: January 13, 2014
Published online: February 28, 2014
Revised: December 23, 2013
Accepted: January 13, 2014
Published online: February 28, 2014
Core Tip
Core tip: Transomental hernias are among the rarest type (1%) of all internal hernias, often being either iatrogenic or post-traumatic. More rarely, a spontaneous herniation may occur. We report a case of an 86-year-old male with a small bowel obstruction and no past surgical or traumatic abdominal history. Contrast-enhanced multi-detector row computed tomography showed findings consistent with a strangulated small bowel volvulus. At laparotomy, however, no derotation had to be performed but up to 100 cm of gangrenous small bowel loops had to be resected because of a strangulated transomental hernia which was prospectively overlooked but could then be retrospectively appreciated.