Abstract

Internal hernia is a condition caused by herniation of intra-abdominal organs through congenital or acquired peritoneal defects and represents a rare cause of small bowel obstruction. Transomental hernia is an uncommon subtype and accounts for a small percentage of all internal hernias, but delayed diagnosis may result in strangulation and increased morbidity, particularly in elderly patients.

We report the successful surgical treatment of small bowel obstruction due to spontaneous transomental hernia in an 86-year-old female patient with no history of previous abdominal surgery. Emergency laparotomy revealed a small bowel loop, approximately 100 cm distal to the ligament of Treitz, herniating through a 1-cm defect in the greater omentum. The herni-ated bowel was viable and was reduced without the need for resection. The postoperative course was uneventful, and the patient was discharged on postoperative day six.

Keywords: hernia, intestinal obstruction, internal hernias, omentum, small bowel obstruction, transomental hernia

License

Copyright (c) 2026 The Author(s). This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.

How to Cite

1.
Şimşek O, Ergenç M. Small bowel obstruction due to spontaneous transomental hernia in an octogenarian patient: a case report. J Trends Med Invest. 2025;1(3):97-9. https://doi.org/10.64512/JTMI.2025.10

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