Congenital Defect in Lesser Omentum Leading to Internal Hernia in Adult: A Rare Case Report

Intestinal obstruction is one of the common clinical condition which is encountered in emergency room. Internal hernia is one of the rare causes of small bowel obstruction accounting for less than 1% of cases. A congenital omental defect is very rare, but can potentially cause internal hernia lead...

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Main Authors: Surag Kajoor Rathnakar, Shridhar Muniyappa, Vikram Hubbanageri Vishnu, Nagaraj Kagali
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2016-08-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/8333/19076_CE(RA1)_F(T)_PF1(SWAK)_PFA(AK)_PF2(PAG).pdf
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author Surag Kajoor Rathnakar
Shridhar Muniyappa
Vikram Hubbanageri Vishnu
Nagaraj Kagali
author_facet Surag Kajoor Rathnakar
Shridhar Muniyappa
Vikram Hubbanageri Vishnu
Nagaraj Kagali
author_sort Surag Kajoor Rathnakar
collection DOAJ
description Intestinal obstruction is one of the common clinical condition which is encountered in emergency room. Internal hernia is one of the rare causes of small bowel obstruction accounting for less than 1% of cases. A congenital omental defect is very rare, but can potentially cause internal hernia leading to obstruction or strangulation of the bowel. We present a case of a 54-year-old man who was brought to the emergency department with sudden onset of lower abdominal pain. He had no history of abdominal surgeries or history of trauma. An emergency laparotomy was performed. On exploring the abdominal cavity, the lesser omental defect was detected, 3cm in size. Loops of jejunum had gone through the defect. Congested bowel loop was pulled back and defect was approximated. An adult congenital omental defect is rare; however, it should be considered as one of the differential diagnoses in a relatively young patient with bowel obstruction without external hernia, previous abdominal surgery or trauma.
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spelling doaj.art-9d2654a5159743f5a942434b5bc432be2022-12-22T00:35:04ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-08-01108PD08PD0910.7860/JCDR/2016/19076.8333Congenital Defect in Lesser Omentum Leading to Internal Hernia in Adult: A Rare Case ReportSurag Kajoor Rathnakar0Shridhar Muniyappa1Vikram Hubbanageri Vishnu2Nagaraj Kagali3Junior Resident, Department of General Surgery, ESIC Medical College, Bengaluru, Karnataka, India.Professor, Department of General Surgery, ESIC Medical College, Bengaluru, Karnataka, India.Senior Resident, Department of General Surgery, ESIC Medical College, Bengaluru, Karnataka, India.Assistant Professor, Department of General Surgery, ESIC Medical College, Bengaluru, Karnataka, India.Intestinal obstruction is one of the common clinical condition which is encountered in emergency room. Internal hernia is one of the rare causes of small bowel obstruction accounting for less than 1% of cases. A congenital omental defect is very rare, but can potentially cause internal hernia leading to obstruction or strangulation of the bowel. We present a case of a 54-year-old man who was brought to the emergency department with sudden onset of lower abdominal pain. He had no history of abdominal surgeries or history of trauma. An emergency laparotomy was performed. On exploring the abdominal cavity, the lesser omental defect was detected, 3cm in size. Loops of jejunum had gone through the defect. Congested bowel loop was pulled back and defect was approximated. An adult congenital omental defect is rare; however, it should be considered as one of the differential diagnoses in a relatively young patient with bowel obstruction without external hernia, previous abdominal surgery or trauma.https://jcdr.net/articles/PDF/8333/19076_CE(RA1)_F(T)_PF1(SWAK)_PFA(AK)_PF2(PAG).pdfcongested bowel loopintestinal obstructionlesser omental defecttransomental internal hernia
spellingShingle Surag Kajoor Rathnakar
Shridhar Muniyappa
Vikram Hubbanageri Vishnu
Nagaraj Kagali
Congenital Defect in Lesser Omentum Leading to Internal Hernia in Adult: A Rare Case Report
Journal of Clinical and Diagnostic Research
congested bowel loop
intestinal obstruction
lesser omental defect
transomental internal hernia
title Congenital Defect in Lesser Omentum Leading to Internal Hernia in Adult: A Rare Case Report
title_full Congenital Defect in Lesser Omentum Leading to Internal Hernia in Adult: A Rare Case Report
title_fullStr Congenital Defect in Lesser Omentum Leading to Internal Hernia in Adult: A Rare Case Report
title_full_unstemmed Congenital Defect in Lesser Omentum Leading to Internal Hernia in Adult: A Rare Case Report
title_short Congenital Defect in Lesser Omentum Leading to Internal Hernia in Adult: A Rare Case Report
title_sort congenital defect in lesser omentum leading to internal hernia in adult a rare case report
topic congested bowel loop
intestinal obstruction
lesser omental defect
transomental internal hernia
url https://jcdr.net/articles/PDF/8333/19076_CE(RA1)_F(T)_PF1(SWAK)_PFA(AK)_PF2(PAG).pdf
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