Double omental hernia - Case report on a very rare cause of intestinal obstruction

Introduction: We report a case of transomental herniation of the ileum through a defect in the gastrocolic ligament with re-emergence through a defect in the gastrohepatic ligament. This type of herniation is extremely rare and a review of the literature is presented. Clinical Presentation: A 41-year-old Chinese male presented with signs and symptoms of intestinal obstruction. Treatment: An urgent laparotomy was undertaken and he was found to have a rare form of infra-abdominal hernia. The hernia was reduced and the defects were closed. Outcome: Postoperative recovery was unremarkable. Conclusion: Urgent operation should not be delayed because of the high mortality associated with strangulation.