LESSER SAC HERNIATION THROUGH THE GREATER OMENTUM AND GASTROPANCREATIC LIGAMENT - REPORT OF A CASE

We report herein the case of a woman who developed a lesser sac hernia which was especially unusual in that the small bowel prolapsed throug h a defect in the greater omentum and was thereafter strangulated by a hole in the gastro-pancreatic ligament. The gastro-pancreatic ligamen t has never before been documented as causing an internal hernia. In o ur patient, a plain abdominal X-ray demonstrated as soft-tissue mass d isplacing the stomach to the left while abdominal computed tomography and ultrasonography showed a sac-like encapsulation of the small bowel loops between the liver and stomach. Careful evaluation of these radi ographic findings allowed for the preoperative diagnosis of a lesser s ac hernia to be made.