Spontaneous lesser omental herniation resolved by laparoscopic surgery : case report and systematic literature review

Article Article scientifique Revue de la littérature Spontaneous lesser omental herniation resolved by laparoscopic surgery : case report and systematic literature review eng 2023-07-21 2023-07-21 author Alves Pinto André Luis 0000-0002-4088-5048 Faculty of Medicine, University of Geneva, 1211, Geneva, Switzerland. 724531 author Balaphas Alexandre 0000-0001-9039-6579 Faculty of Medicine, University of Geneva, 1211, Geneva, Switzerland. alexandre.balaphas@unige.ch.,Department of Surgery, Neuchâtel Hospital Network, Maladière 45, 2000, Neuchâtel, Switzerland. alexandre.balaphas@unige.ch. 634385 author Zuo Katie Faculty of Life Sciences & Medicine, King's College London, London, SE1 1UL, UK. author Hauser Philipp Division of Radiology, Hôpital de la Tour, 1217, Geneva, Switzerland. 88802 author Neroladaki Angeliki 0000-0003-2630-059X Division of Radiology, Hôpital de la Tour, 1217, Geneva, Switzerland. 795859 author Raffoul Toni Division of Digestive Surgery, Hôpital de la Tour, 1217, Geneva, Switzerland. 828777 6704-6710 10.1007/s00464-023-10279-4 37479840 0930-2794 https://link.springer.com/article/10.1007/s00464-023-10279-4 Background: Despite its extremely low incidence, intra-abdominal herniation through the lesser omentum is associated with a high mortality rate and must be recognized early and treated urgently. To overcome a lack of data on the management of this condition, we collected and reviewed all the reported cases of operated lesser omental hernia and presented the case of a patient treated by laparoscopy for an isolated lesser omental hernia. Methods: According to PRISMA guidelines and using PubMed, Cochrane Library, and Web of Science, a systematic literature review of cases of lesser omental hernia treated by surgery was performed on February 12, 2023. Results: Of 482 articles, 30 were included for analysis and only 9 articles presented an isolated hernia through the lesser omentum. Among these, 4 patients were female and the median age was 38. Upper abdominal pain and vomiting were reported in 7 out of 9 patients. The small bowel was responsible for 78% (7/9) of all lesser omental herniations. All of them were treated by laparotomy. In addition, we describe the case of a 65-year-old woman without prior surgical history who was treated by laparoscopy for a spontaneous closed loop hernia through the lesser omentum without any other associated hernias. Conclusion: Mostly associated with prior surgery or trauma, this type of herniation could sometimes occur spontaneously without any sign of peritonitis. Due to the high mortality rate, internal abdominal hernias should always be ruled out with a CT scan in front of patients presenting with persisting acute abdominal pain and no alternative diagnosis. Gastrohepatic omentum Hernia Intra-abdominal Lesser omentum Small omentum Dewey 617 57 Département de chirurgie 222 false 562 Transplantation et hépatologie 905 Surgical endoscopy 37 9 01149f38-8875-4462-bfd6-bcfd1083e396 Article (Published version) Public Article-scientifique-from-unpaywall.pdf 1515160 application/pdf CC BY-4.0 686562b0b2c2e8a70a3ca587a01f5d653e127737a429fd44e0298427dbf3fb3c dd7fa545-8a65-4778-946c-96c48b079572 Supplemental data Public 464_2023_10279_MOESM1_ESM.docx 18993 application/vnd.openxmlformats-officedocument.wordprocessingml.document a1fa058c649157a8ff7b69e52d9f2b91a4b2f6816f7179bf0757fbf9595d70ce 4d0f9f54-2cf5-4e57-b7b1-c7c528ab526b Supplemental data Public 464_2023_10279_MOESM2_ESM.docx 31298 application/vnd.openxmlformats-officedocument.wordprocessingml.document 20dd3a6ad7707b45c2a6bf4cf40409a1ffef572c17287071743f979ddae4227b openAccess Faculté de médecine / Section de médecine clinique / Département de chirurgie

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Spontaneous lesser omental herniation resolved by laparoscopic surgery : case report and systematic literature review	Surgical endoscopy			2023	95	325

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Hauser, Philipp