• Birol Ağca, Aziz Bora Karip, Yalın İşcan, Yetkin Özcabı, Mehmet Mahir Fersahoğlu, and Kemal Memişoğlu.
• Department of General Surgery, Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey. birolagca@yahoo.com.
• Ulus Travma Acil Cer. 2015 Mar 1;21(2):160-2.

AbstractInternal 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.

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