Re: Internal herniation of the caecum through the foramen of Winslow

2014 ◽  
Vol 84 (10) ◽  
pp. 796-796 ◽  
Author(s):  
Thushara Dissanayake ◽  
David Grieve ◽  
Chin Li Tee
Keyword(s):  
Internal Herniation ◽  
Foramen Of Winslow

scholarly journals Intestinal obstruction due to small bowel herniation through foramen of Winslow: a case report 

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
P. K. B. S. C. Bandara ◽  
A. M. Viraj Rohana ◽  
Aloka Pathirana
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Intestinal Obstruction ◽  
Reflux Disease ◽  
Bowel Loop ◽  
Internal Herniation ◽  
Small Bowel Loop ◽  
Foramen Of Winslow

Abstract Background Intestinal obstruction due to internal herniation of the bowel is a rare clinical entity which is often overlooked in the differential diagnosis of patients with abdominal pain who have no previous history of abdominal surgery. Several sites of bowel internal herniation have been described, amongst which internal herniation through the foramen of Winslow accounts for about 8% of cases. These patients present with nonspecific abdominal pain associated with symptoms of gastroesophageal reflux disease, and hence the diagnosis is often overlooked. The usual symptoms of intestinal obstruction can be delayed, which results in a delay in diagnosis and gangrene of the herniated bowel segment. Abdominal radiographs and computed tomography are helpful in the diagnosis. Open reduction is the management of choice; however, laparoscopic reduction has also been attempted, with good results. Case presentation We report a case of a middle-aged Sri Lankan man who presented with features of gastroesophageal reflux disease, developed features of intestinal obstruction and was found to have a gangrenous small bowel loop which had herniated through the foramen of Winslow. Following needle aspiration and reduction of the herniated small bowel loop, the gangrenous part of the small bowel was resected and an ileoileal anastomosis performed. The large foramen of Winslow was partially closed with interrupted stitches. The patient made an uneventful recovery. Conclusion Since delayed diagnosis of bowel obstruction is detrimental, it is of utmost importance to diagnose it early. Because internal herniation of the small bowel through the foramen of Winslow presents with nonspecific symptoms including features of gastroesophageal reflux disease, as documented in several cases worldwide and also presented by our patient, there should be a high degree of suspicion of internal herniation of the bowel causing bowel obstruction and low threshold for extensive investigation of patients presenting with symptoms of gastroesophageal reflux disease which does not resolve with usual medication.

A Strangulated Cecal Volvulus through the Foramen of Winslow, a Rare Presentation of Internal Herniation

2017 ◽  
Vol 83 (6) ◽  
pp. 200-201
Author(s):  
Jonathan Nguyen ◽  
K. Aviva Bashan ◽  
Omar K. Danner ◽  
Ray L. Matthews ◽  
Assad Taha ◽  
...  
Keyword(s):  
Internal Herniation ◽  
Cecal Volvulus ◽  
Rare Presentation ◽  
Foramen Of Winslow

Internal herniation of the caecum through the foramen of Winslow

2013 ◽  
Vol 84 (1-2) ◽  
pp. 95-96 ◽  
Author(s):  
Jennifer Ryan ◽  
Senpei Jin ◽  
Jeremy Frank ◽  
Rod Jacobs
Keyword(s):  
Internal Herniation ◽  
Foramen Of Winslow

scholarly journals A Case Report of a Cecal Bascule with Internal Herniation through the Foramen of Winslow

2021 ◽  
Author(s):  
Eric Mulkey ◽  
Gregory Stewart ◽  
Ernesto Enrique ◽  
Rafik El-Sabrout
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Internal Herniation ◽  
Foramen Of Winslow ◽  
Internal Hernias ◽  
Abdominal Symptoms ◽  
Rare Phenomenon

Internal hernias are a rare phenomenon, and even rarer is a herniation through the foramen of Winslow. We report a rare case of an 81 year old female presenting with vague abdominal symptoms who was found to have a cecal bascule herniating through the foramen of Winslow treated with surgery.

scholarly journals Erratum to: Internal herniation through the foramen of Winslow during pregnancy: MR findings

2011 ◽  
Vol 36 (3) ◽  
pp. 321-321
Author(s):  
Kelly MacDonald ◽  
Stephen Hayward ◽  
Martha Nixon ◽  
Anthony Holbrook
Keyword(s):  
Internal Herniation ◽  
Foramen Of Winslow

Internal Herniation of the Cecum through the Foramen of Winslow

2009 ◽  
Vol 75 (12) ◽  
pp. 1252-1253 ◽  
Author(s):  
Leland H. Webb ◽  
William P. Riordan
Keyword(s):  
Internal Herniation ◽  
Foramen Of Winslow

205 Internal Herniation of The Caecum and Ascending Colon Through the Foramen of Winslow: A Case Report

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
O Lasheen ◽  
A Amin
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Right Hemicolectomy ◽  
Sudden Onset ◽  
Internal Herniation ◽  
Ascending Colon ◽  
Tissue Viability ◽  
Foramen Of Winslow ◽  
History Of ◽  
Operative Findings

Abstract Introduction An internal hernia occurs when part of the bowel protrudes through a mesenteric or a peritoneal orifice which could be either normally present or acquired. These hernias usually represent a challenge to diagnose. Of the natural anatomical orifices is the Foramen of Winslow through which the caecum and the ascending colon could herniate. Case Report An 85-year-old gentleman presented with a one-day history of abdominal pain. His pain had a sudden onset, an intermittent course and was limited to the epigastric region. He was nauseated but not vomiting. He had opened his bowels a day before presenting to the hospital. CT scan of the revealed herniation of the caecal pole through the foramen of Winslow and into the lesser sac. The decision was made to perform a laparotomy where it was revealed that the caecum and part of the ascending colon had herniated through the foramen of Winslow. Content of the hernia, which was viable, was carefully reduced and right hemicolectomy was performed. Conclusions With the scarcity of similar cases, we currently have no consensus of management. Dealing with the hernia at laparotomy would be usually the choice of the surgeon depending on tissue viability and other operative findings.

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