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ABDOMINAL RADIOLOGY Table of Contents   
Year : 2014  |  Volume : 24  |  Issue : 2  |  Page : 171-174
Stretched bowel sign in combined transmesocolic and transomental internal hernia: A case report and review of literature


Department of Radiology, SRM University Medical College and Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
Nischal G Kundaragi
Department of Radiology, SRM University Medical College and Hospital, Chennai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-3026.134407

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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.


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