# Spontaneous transomental hernia: a rare cause of closed loop bowel obstruction

## TL;DR

A rare case of spontaneous transomental hernia causing bowel obstruction was diagnosed and treated successfully in a patient with no prior abdominal surgery.

## Contribution

Highlights the importance of considering transomental hernias in patients without surgical history for timely diagnosis and treatment.

## Key findings

- Spontaneous transomental hernia can present with non-specific obstructive symptoms.
- Emergency laparoscopy confirmed the diagnosis and allowed preservation of bowel viability.
- Early surgical intervention reduces morbidity in such rare cases.

## Abstract

Transomental hernias are the rarest subtype of internal hernias, accounting for 0.5%–3% of bowel obstructions. We report an unusual case of a spontaneous transomental hernia in a 47-year-old male presenting with non-specific obstructive symptoms. A CT scan revealed a closed-loop small bowel obstruction, but the diagnosis of a spontaneous transomental hernia was confirmed during emergency diagnostic laparoscopy. The small bowel remained viable, avoiding the need for resection, and the patient had an uncomplicated postoperative recovery. Clinical suspicion for transomental hernias is crucial, especially in patients with no prior abdominal surgery, to ensure early surgical intervention and reduced morbidity.