{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T03:57:45Z","timestamp":1790654265567,"version":"4.1.0"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Internal hernias are a rare cause of small bowel obstruction (SBO), accounting for ~0.5%\u20135% of cases; transomental hernia represents the rarest subtype, comprising only 1%\u20134% of internal hernias. We report a 72-year-old man with hypertension but no prior abdominal surgery or trauma who presented with abdominal pain, nausea, and vomiting. Laboratory tests showed leukocytosis; abdominal radiography demonstrated air-fluid levels. Contrast-enhanced computed tomography revealed a collapsed colon, a distinct transition zone between dilated proximal and collapsed distal small bowel loops, and localized mesenteric fat stranding, suggesting internal hernia. After 48\u00a0h without improvement on conservative management, exploratory laparotomy revealed a 3-cm circular defect in the greater omentum with a herniated, viable small bowel loop causing closed-loop obstruction. The loop was reduced and the defective omental segment resected without bowel resection. The patient recovered uneventfully and was discharged on postoperative day 3.<\/jats:p>","DOI":"10.1093\/jscr\/rjag835","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T12:00:59Z","timestamp":1789473659000},"source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous transomental internal hernia causing small bowel obstruction in an elderly patient with a virgin abdomen: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5537-7396","authenticated-orcid":false,"given":"Zafer","family":"Goren","sequence":"first","affiliation":[{"name":"Kayseri City Hospital, General Surgery Clinic , Kayseri ,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5904-3576","authenticated-orcid":false,"given":"Yasar","family":"Kalip","sequence":"additional","affiliation":[{"name":"Kayseri City Hospital, General Surgery Clinic , Kayseri ,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"2026092823325849300_ref1","first-page":"120","article-title":"Trans-omental hernia as a rare cause of small bowel obstruction","volume":"60","author":"Skeik","year":"2012","journal-title":"J Med Liban"},{"key":"2026092823325849300_ref2","first-page":"126","article-title":"Transomental hernia\u2014an enigmatic case report causing bowel obstruction in a virgin abdomen","volume":"66","author":"Al Buainain","year":"2019","journal-title":"Int J Surg Case Rep"},{"key":"2026092823325849300_ref3","first-page":"201","article-title":"A spontaneous transomental hernia: a rare cause of bowel obstruction","volume":"52","author":"Ergenc","year":"2023","journal-title":"Iran J Public Health"},{"key":"2026092823325849300_ref4","doi-asserted-by":"crossref","first-page":"rjaf034","DOI":"10.1093\/jscr\/rjaf034","article-title":"Spontaneous transomental hernia: a rare cause of closed loop bowel obstruction","volume":"2025","author":"Zhang","year":"2025","journal-title":"J Surg Case Rep"},{"key":"2026092823325849300_ref5","doi-asserted-by":"crossref","first-page":"rjaf670","DOI":"10.1093\/jscr\/rjaf670","article-title":"Transomental hernia causing small bowel obstruction: an uncommon surgical emergency and literature review","volume":"2025","author":"AlAli","year":"2025","journal-title":"J Surg Case Rep."},{"key":"2026092823325849300_ref6","doi-asserted-by":"crossref","first-page":"rjae796","DOI":"10.1093\/jscr\/rjae796","article-title":"Small bowel obstruction caused by transmesenteric hernia in a patient with complex medical history: a case report","volume":"2024","author":"Karim Ahmad","year":"2024","journal-title":"J Surg Case Rep"},{"key":"2026092823325849300_ref7","first-page":"1041","article-title":"A case of incarceration of sigmoid colon into hiatus of greater omentum [article in Japanese]","volume":"33","author":"Yamaguchi","year":"1978","journal-title":"Rinsho Geka"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag835\/71455565\/rjag835.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag835\/71455565\/rjag835.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T03:33:06Z","timestamp":1790652786000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag835\/8843725"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":7,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,8,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag835","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9]]},"published":{"date-parts":[[2026,8,31]]},"article-number":"rjag835"}}