{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T01:46:13Z","timestamp":1793929573274,"version":"4.8.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,6,24]],"date-time":"2022-06-24T00:00:00Z","timestamp":1656028800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction:<\/jats:title>\n There are several types of internal hernia. Herniation through the defect in the lesser omentum is extremely rare. Symptoms of this type of hernias may vary a lot and diagnosis is difficult. In this case report a young adult with nonspecific symptoms is diagnosed with an intestinal herniation through the defect in the lesser omentum.<\/jats:p>\n <\/jats:sec>\n \n Case presentation:<\/jats:title>\n A 35-year-old man with the history of laparoscopic colectomy presented with abdominal pain but no symptoms of peritonitis or acute bowel obstruction. Abdominal computed tomography (CT) revealed displacement of mesenteric vessels, small intestine and stomach. Intestinal herniation through the lesser omentum was suspected. Laparoscopic reposition of small intestine was performed. The greater curvature of the stomach was sutured to the transverse mesocolon to prevent recurrence of hernia.<\/jats:p>\n <\/jats:sec>\n \n Discussion:<\/jats:title>\n Previous surgery, low body mass index (BMI), absence of adhesions may predispose the lesser omental hernia. Herniating of intestines through the large openings may occur without presence of acute obstruction or gangrene. CT is helpful in making a correct diagnosis.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n When evaluating the patient with abdominal pain, internal hernia should be considered. CT modalities may aid in the detection of these rare hernias and ensure timely treatment. Perioperative inspection and repair of the hepatogastric ligament may help to prevent lesser omental hernias.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.107361","type":"journal-article","created":{"date-parts":[[2022,6,27]],"date-time":"2022-06-27T11:48:22Z","timestamp":1656330502000},"page":"107361","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":11,"title":["Lesser omental hernia without intestinal gangrene \u2013 Case report"],"prefix":"10.1097","volume":"96","author":[{"given":"Arnas","family":"Ugianskis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-80-20260309","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1590\/S1516-31802002000300006","article-title":"Strangulated internal hernia through the lesser omentum with intestinal necrosis: a case report","volume":"120","author":"Duarte","year":"2002","journal-title":"Sao Paulo Med. J"},{"key":"R2-80-20260309","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1186\/s12893-019-0665-7","article-title":"An extremely rare case of lesser omental hernia in an elderly female patient following total colectomy","volume":"20","author":"Liu","year":"2020","journal-title":"BMC Surg"},{"key":"R3-80-20260309","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1007\/s11605-007-0086-2","article-title":"Internal hernias: clinical findings, management, and outcomes in 49 nonbariatric cases","volume":"11","author":"Ghiassi","year":"2007","journal-title":"J. Gastrointest. Surg"},{"key":"R4-80-20260309","first-page":"D08","article-title":"Congenital defect in lesser omentum leading to internal hernia in adult: a rare case report","volume":"10","author":"Rathnakar","year":"2016","journal-title":"J. Clin. Diagn. 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Unusual cause of intestinal occlusion]","volume":"55","author":"Genovese","year":"2000","journal-title":"Minerva Chir"},{"key":"R11-80-20260309","first-page":"1072","article-title":"Strangulated internal hernia through lesser sac- an unusual case of small bowel obstruction","volume":"2","author":"Panda","year":"2015","journal-title":"Austin J. Surg"},{"key":"R13-80-20260309","first-page":"20","article-title":"Internal hernias: a difficult diagnostic challenge. 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