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UNUSUAL CASE
Ahead of Print

Laparoscopic repair of a combined transmesocolic, transomental hernia


1 Department of General Surgery, Hinduja Hospital, Mumbai, Maharashtra, India
2 Department of Minimal Access Surgery, Hinduja Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Deepraj S Bhandarkar,
Department of Minimal Access Surgery, Room 2103, Hinduja Hospital, Veer Savarkar Road, Mahim, Mumbai - 400 016, Maharashtra
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.JMAS_244_18

PMID: 30777991

Transmesocolic and transomental hernias (TOHs) are rare types of internal hernia. Both these hernias occurring concurrently in a patient are even rarer. We report a patient with signs of recurrent small-bowel obstruction who was found to have a dual transmesocolic, TOH. Computed tomography imaging and subsequent laparoscopic exploration identified small-bowel loops passing through a defect in the transverse mesocolon behind the stomach to emerge through the gastrohepatic omentum. This was treated successfully by laparoscopy. To the best of our knowledge, this is the first reported case of a combined transmesocolic, TOH undergoing successful laparoscopic repair.


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    -  Kulkarni GV
    -  Premchandani D
    -  Chitnis A
    -  Katara A
    -  Bhandarkar DS
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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04