Case Report of a Lesser Sac Intestinal Herniation through a Defect in the Gastro-Hepatic Omentum and Novel Repair Techniqueusing Biological Glue

Abstract

Internal hernia is a clinical genus that poses diagnostic and therapeutic challenges and is often omitted from the differential diagnoses because of its relative rarity.

We report a case of extremely rare and atypical lesser sac intestinal herniation through a small defect in the gastro-hepatic omentum. This report details the preoperative and intraoperative diagnostic challenges and shortcomings, and also describe a novel repair technique using fibrin glue to address the culprit defect and prevent future recurrence. In this report we attempt to map out our experience against the published literature on similar cases and clinical genera and propose an anatomical and pathological model that may be used to scaffold our understanding of this clinical entity and inform relevant clinical decisions.