Lesser omental hernia without intestinal gangrene - Case report

Arnas Ugianskis*

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

1 Citation (Scopus)
21 Downloads (Pure)


INTRODUCTION: There are several types of internal hernia. Herniation through the defect in the lesser omentum is extremely rare. Symptoms of this type of hernias may vary a lot and diagnosis is difficult. In this case report a young adult with nonspecific symptoms is diagnosed with an intestinal herniation through the defect in the lesser omentum.

CASE PRESENTATION: A 35-year-old man with the history of laparoscopic colectomy presented with abdominal pain but no symptoms of peritonitis or acute bowel obstruction. Abdominal computed tomography (CT) revealed displacement of mesenteric vessels, small intestine and stomach. Intestinal herniation through the lesser omentum was suspected. Laparoscopic reposition of small intestine was performed. The greater curvature of the stomach was sutured to the transverse mesocolon to prevent recurrence of hernia.

DISCUSSION: Previous surgery, low body mass index (BMI), absence of adhesions may predispose the lesser omental hernia. Herniating of intestines through the large openings may occur without presence of acute obstruction or gangrene. CT is helpful in making a correct diagnosis.

CONCLUSION: When evaluating the patient with abdominal pain, internal hernia should be considered. CT modalities may aid in the detection of these rare hernias and ensure timely treatment. Perioperative inspection and repair of the hepatogastric ligament may help to prevent lesser omental hernias.

Original languageEnglish
Article number107361
JournalInternational Journal of Surgery Case Reports
Publication statusPublished - Jul 2022

Bibliographical note

Copyright © 2022 The Author. Published by Elsevier Ltd.. All rights reserved.


  • Case report
  • Colectomy
  • Hepatogastric ligament
  • Internal hernia
  • Lesser omentum
  • Lesser sac


Dive into the research topics of 'Lesser omental hernia without intestinal gangrene - Case report'. Together they form a unique fingerprint.

Cite this