Lesser omental internal hernia with strangulation: a case report

Internal hernia is an unusual cause of the intestinal obstruction. Preoperative diagnosis of internal hernia has been very difficult. However, with the recent increasing advances of CT, detection of its presence becomes much easier than in the past. The advances of CT make the diagnosis more easier than in the past. We report one case of internal hernia with herniation of the ileum into the lesser omentum. The diagnosis could be made when abdominal radiographs showed fixed clustering of the small bowel loops in upper abdomen medial to the stomach. CT and ultrasound showed characteristic interposition of the ileum between the left hepatic lobe and the stomach