anisse tidjane

Transomental hernia is the rarest form of internal hernias. Clinical expression of this pathology is ambiguous and diagnosis is often made at the complication phase, after irreversible strangulation of the herniated loop. Radiological diagnosis is still difficult and intraoperative exploration usually allows discovering this pathology when the patient is operated for acute intestinal obstruction. Treatment is surgical and aims to treat intestinal obstruction and prevent a recurrence. We describe the case of a 65 years old male operated on for a preoperatively suspected internal hernia; surgical exploration found a transomental hernia through the greater omentum.