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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2014; 24(02): 171-174
DOI: 10.4103/0971-3026.134407
Abdominal Radiology

Stretched bowel sign in combined transmesocolic and transomental internal hernia: A case report and review of literature

Nischal G Kundaragi
Department of Radiology, SRM University Medical College and Hospital, Chennai, Tamil Nadu, India
,
Shanmugam Vinayagam
Department of Radiology, SRM University Medical College and Hospital, Chennai, Tamil Nadu, India
,
Srinivasa Mudali
Department of Radiology, SRM University Medical College and Hospital, Chennai, Tamil Nadu, India
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Abstract

Transomental and transmesenteric hernias are rare types of internal hernia, with a reported frequency of upto 4% and 8%, respectively. Combined transomental and transmesocolic hernia is even rare. Only in a few types of internal hernia, the dilated small bowel loops will be seen extending from the antero-superior aspect of the distal stomach and cause stretching effect over the adjacent bowel loops with increase in the size of the herniated bowel segment or intestinal obstruction. We report a rare case of idiopathic combined transomental (across the lesser omentum) and transmesocolic internal hernia with "stretched bowel sign," its diagrammatic representations, and review of literature.

Keywords

Internal hernia - non‑contrast enhanced computed tomography study - stretched bowel - transmesocolic - transomental


Publikationsverlauf

Artikel online veröffentlicht:
02. August 2021

© 2014. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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