Table 1 Summary of previously reported cases with lesser omental hernia
Case | Refs. | Year | Age | Gender | Type | History of abdominal surgery | Intraoperative findings | CT findings | Herniated organ | Surgical method | |
|---|---|---|---|---|---|---|---|---|---|---|---|
Bowel resection | Orifice closure | ||||||||||
1 | Li A[3] | 2017 | 38 | F | I | – | Malrotation of the midgut, dissociation of Ileocecal, endometriosis | No CT examination | Ileum | + | + |
2 | Rathnakar SK[4] | 2016 | 54 | M | I | – | Defect in the lesser omentus (3 × 2 cm in size) | No CT examination | Jejunum | – | + |
3 | Wang W[5] | 2016 | 62 | F | I | – | Defects in ligamentum hepatogastricum (3 × 2 cm in size) complicated with defects in the mesocolon transversum, greater omentum, | Small intestine and mesostenium vessels gathered in the lesser gastric curvature | Jejunum | + | + |
4 | Kundaragi NG[6] | 2014 | 55 | M | II | – | Defects in ligamentum hepatogastricum (4 cm in diameter), complicated with defect in the mesocolon transversum | Distorted stomach became thinner and longer; colon transversum was relocated, dilated bowel loops were visible in the ventral part of the stomach | Small intestine | – | + |
5 | Konishi T[7] | 2014 | 42 | M | II | Total colectomy | Defect in the lesser omentum (5 cm in diameter) | air-fluid levels above the stomach dilated bowel loops were located in the ventral part of the stomach and the mesostenium vessels gathered in the lesser curvature of the stomach | Jejunum | – | + |
6 | Masubuchi S[8] | 2013 | 57 | F | II | Left hemi-colectomy | Defects in the ligamentum hepatogastricum (4 cm in diameter), complicated with the mesocolon transversum (5 cm in diameter) | Distorted stomach, obstructed bowel loops located in the ventral part of the distal stomach | Ileum | – | + |
7 | Min JS[9] | 2009 | 47 | F | II | – | Defects in ligamentum hepatogastricum and ligamenta gastrocolicum | Dilated jejunum with liquid accumulation, mesostenium perforated through the defected greater omentum | Jejunum | + | + |
8 | Bahadori K[10] | 2001 | 14 | F | II | Appendectomy | Defects in the lesser omentum and mesocolon transversum | Distortion and relocation of the stomach | Small intestine | ||
9 | Duarte GG[11] | 1996 | 36 | M | I | Unknown | Defect in the lesser omentum | No CT examination | Ileum | + | + |
10 | Tran TL[12] | 1990 | 24 | M | I | Unknown | Defect in ligamentum hepatogastricum (4 cm in diameter) | Dilated bowel loops were visible within the omental burs, the spleen was relocated. | Jejunum | + | + |
11 | Yasuda S[13] | 1984 | 20 | M | II | Unknown | Defects in ligamentum hepatogastricum (4 cm in diameter) and ligamenta gastrocolicum | Upper abdominal air-fluid levels | Small intestine | + | + |
12 | Current case | 2018 | 73 | F | II | Subtotal colectomy | Defect in ligamentum hepatogastricum (4 cm in diameter) | Distorted stomach, perforated mesostenium through the defected lesser omentum, dilated bowel loops located in the ventral part of the distal stomach and relocated mesostenium vessels | Jejunum | + | + |