Abstract
Internal herniation through the foramen of Winslow is a rare cause of abdominal hernia. We describe a case in which caecal herniation through the foramen of Winslow was diagnosed using various imaging modalities, including computed tomography and managed operatively through hernia identification, caecal reduction and foramen closure. The literature is subsequently reviewed to highlight previous similar episodes and identify the optimal modalities for pre-operative diagnosis and describe the most appropriate intra-operative management.
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References
Azar AR, Abraham C, Coulier B, Broze B (2010) Ileocecal herniation through the foramen of Winslow: MDCT diagnosis. Abdom Imaging 35(5):574–577
Talebpour M, Habibi GR, Bandarian F (2005) Laparoscopic management of an internal double omental hernia: a rare cause of intestinal obstruction. Hernia 9(2):195–197
Evrard V, Vielle G, Buyck A, Merchez M (1996) Herniation through the foramen of Winslow. Report of two cases. Dis Colon Rectum 39(9):1055–1057
Kanellos D, Kockerling F, Moesta KT (2008) Rare cause of acute pain in the left upper abdominal quadrant. Hernia 12(6):659–661
Selcuk D, Kantarci F, Ogut G, Korman U (2005) Radiological evaluation of internal abdominal hernias. Turk J Gastroenterol 16(2):57–64
Osvaldt AB, Mossmann DF, Bersch VP, Rohde L (2008) Intestinal obstruction caused by a foramen of Winslow hernia. Am J Surg 196(2):242–244
Cook JL (1970) Bowel herniation through the foramen of Winslow. Am Surg 36(4):241–247
Armstrong O, Hamel A, Grignon B, Peltier J, Hamel O, Letessier E et al (2007) Internal hernias: anatomical basis and clinical relevance. Surg Radiol Anat 29(4):333–337
Martin LC, Merkle EM, Thompson WM (2006) Review of internal hernias: radiographic and clinical findings. AJR Am J Roentgenol 186(3):703–717
Schuster MR, Tu RK, Scanlan KA (1992) Caecal herniation through the foramen of Winslow: diagnosis by computed tomography. Br J Radiol 65(779):1047–1048
Wojtasek DA, Codner MA, Nowak EJ (1991) CT diagnosis of cecal herniation through the foramen of Winslow. Gastrointest Radiol 16(1):77–79
Dorian AL, Stein GN (1954) Hernia through foramen of Winslow: report of a case with preoperative roentgen diagnosis and successful surgical management. Surgery 35(5):795–801
Erskine JM (1967) Hernia through the foramen of Winslow. Surg Gynecol Obstet 125(5):1093–1109
Tjandra JJ, Collier N (1991) Obstructive jaundice due to foramen of Winslow hernia: a case report. Aust N Z J Surg 61(6):467–469
Van Daele E, Poortmans M, Vierendeels T, Potvlieghe P, Rots W (2010) Herniation through the foramen of Winslow: a laparoscopic approach. Hernia 15(4):447–449
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Patel, V., Newton, R., Wakely, S. et al. Caecal herniation through the foramen of Winslow: a rare cause of bowel obstruction. Updates Surg 65, 241–244 (2013). https://doi.org/10.1007/s13304-012-0150-7
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DOI: https://doi.org/10.1007/s13304-012-0150-7