PMC3860037_01
Introperative view showing the small bowel captured in the defect of the major omentum. The two arrows ( ) indicate the trapped small intestine, the double-sided arrow ( ) marks the omentum.
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A systematic examination revealed an internal herniation with capture of one meter of small bowel in a defect of the greater omentum (Fig. 1).
Intraoperative view of the captured small bowel from another point of view. One defect of the greater omentum is filled with the trapped small intestine ( ). The almost transparent area of the greater omentum with an additional defect is clearly visible ( ).
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There were no signs of an affected or attenuated omentum, but the "hole" was in the very thin almost transparent part of the greater omentum (Fig. 2).
Intraoperative view after removing the captured small bowel ( ). The defect in the omentum is in a transparent area with no signs of attenuation.
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The small bowel was freed (Fig. 3) and part of the omentum resected to eliminate the defect and prevent any recurrence of an internal herniation.