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Transfalciform greater omental herniation
  1. Rowan Stephenson,
  2. Simon McQueen,
  3. John Vedelago,
  4. Ky McGrillen
  1. Department of Diagnostic Radiology, Royal Prince Alfred Hospital, Sydney, Australia
  1. Correspondence to Dr Simon McQueen, mcqueen.simon{at}


Internal herniae are rare, those involving the falciform ligament even rarer. To the best of our knowledge, there have been approximately 20 cases of herniae involving the falciform ligament previously reported. Of these cases, only one previously reported case involves herniation of the greater omentum through the falciform ligament. We present a second case of an adult man who presented with a 48-hour history of epigastric pain and was found on contrast multidetector CT to have a strangulated transfalciform greater omental hernia. The hernia was repaired laparoscopically and the patient recovered uneventfully.

  • Radiology
  • General surgery
  • Pathology

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  • Contributors RS was responsible for the conception of this case report, the bulk of the literature review and initial drafting of the submission as well as final review.

    SM was responsible for image acquisition including liaison with the Department of Pathology for the preparation of pathological specimen slides. He was also heavily involved in the final drafting of the submission and acts as corresponding author.

    JV was the overseeing consultant on the submission. JV was involved throughout the conception and drafting of the case report. He was also responsible for liaison with the patient for consent.

    KM was involved in the conceptualisation and image acquisition as well as drafting of the submission. He was also available for expert advice in its finalisation. Special thanks to Dr Harini Narayanappa and Dr Geoff Watson from Royal Prince Alfred Department of Anatomical Pathology.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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