Ağca Birol, Karip Aziz Bora, İşcan Yalın, Özcabı Yetkin, Fersahoğlu Mehmet Mahir, Memişoğlu Kemal
Department of General Surgery, Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey.
Ulus Travma Acil Cerrahi Derg. 2015 Mar;21(2):160-2. doi: 10.5505/tjtes.2015.65990.
Internal herniation is a very rare condition which can cause small bowel obstruction. Trans-omental hernias are an infrequent form of internal herniation and can be seen without a history of trauma and previous abdominal surgery. An 85-year-old male patient without a history of abdominal surgery or trauma was admitted to the emergency service with severe abdominal pain and vomiting. Physical examination and laboratory tests revealed a diagnosis of ileus. During laparotomy, a trans-omental hernia causing strangulation of the ileum was detected. Resection-anastomosis was performed and the omental defect was disrupted by partial omentectomy. Although trans-omental hernia is a very rare condition, it should be considered in the differential diagnosis of patients without mechanic intestinal obstruction.
内疝是一种非常罕见的疾病，可导致小肠梗阻。网膜孔疝是内疝的一种罕见形式，无外伤史和既往腹部手术史时也可出现。一名85岁男性患者，无腹部手术或外伤史，因严重腹痛和呕吐入院急诊。体格检查和实验室检查诊断为肠梗阻。剖腹手术时，发现一个导致回肠绞窄的网膜孔疝。进行了切除吻合术，并通过部分网膜切除术修复网膜缺损。尽管网膜孔疝非常罕见，但在无机械性肠梗阻患者的鉴别诊断中应予以考虑。
