“INTERNAL HERNIA THROUGH FORAMEN OF WINSLOW: A CASE REPORT”

Samina Akhtar; Zainab Malik; Alishbah Zaid; Khurram Khaliq Bhinder; Rashed Nazir; Salma Gul; Areeba Imtiaz

“INTERNAL HERNIA THROUGH FORAMEN OF WINSLOW: A CASE REPORT”

Samina Akhtar, Zainab Malik, Alishbah Zaid, Khurram Khaliq Bhinder, Rashed Nazir, Salma Gul, Areeba Imtiaz

Abstract

Hernia through the foramen of Winslow is relatively rare and seldomly seen. The patients usually have vague abdominal pain and present with symptoms of acute intestinal obstruction. We present a case of a 66-year-old female who presented acutely in ER with right hypochondrial pain, abdominal distension, and vomiting. The patient initially had an ultrasound of the abdomen which showed mild free fluid and was advised a CT scan. She then underwent a non-contrast CT of the abdomen and pelvis which revealed internal hernia through the foramen of Winslow.

Keywords: Internal hernia, foramen of Winslow, Bowel obstruction, cecal incarceration.

Full Text:

PDF

References

Puig CA, Lillegard JB, Fisher JE, Schiller HJ. Hernia of cecum and ascending colon through the foramen of Winslow. International journal of surgery case reports. 2013 Jan 1;4(10):879-81.

Ayoob F, Michael R, Chadnick Z, Fasanya C. Internal hernia of caecum through the foramen of Winslow. BMJ Case Reports CP. 2019 Jul 1;12(7):e228239.

Sikiminywa-Kambale P, Anaye A, Roulet D, Pezzetta E. Internal hernia through the foramen of Winslow: a diagnosis to consider in moderate epigastric pain. Journal of Surgical Case Reports. 2014 Jun 1;2014(6):rju065.

Harnsberger CR, McLemore EC, Broderick RC, Fuchs HF, Peter TY, Berducci M, Beck C, Almadani M, Jacobsen GR, Horgan S. Foramen of Winslow hernia: a minimally invasive approach. Surgical endoscopy. 2015 Aug 1;29(8):2385-8.

Mboyo A, Goura E, Massicot R, Flurin V, Legrand B, Repetto-Germaine M, Caron-Bataille S, Ndié J. An exceptional cause of intestinal obstruction in a 2-year-old boy: strangulated hernia of the ileum through Winslow’s foramen. Journal of Pediatric Surgery. 2008 Jan 1;43(1):e1-3.

Deschner BW, Schwulst SJ. Spontaneous reduction of acute cecal herniation through the foramen of Winslow. Journal of Surgical Case Reports. 2018 Sep;2018(9):rjy236.

Yamashiro T, Ikeda H, Fujikawa A, Hashimoto K, Morimoto T, Miyakawa K, Onoda K, Fukunaga T, Otsubo T, Nakajima Y. Internal hernia through the foramen of Winslow: the “narrowed portal vein” sign on abdominal CT. Emergency radiology. 2013 Jun 1;20(3):247-50.

Duinhouwer LE, Deerenberg E, Rociu E, Kortekaas RT. Herniation of the colon through the foramen of Winslow—A case report. International journal of surgery case reports. 2016 Jan 1;24:14-7.

Moris D, Tsilimigras DI, Yerokun B, Seymour KA, Guerron AD, Fong PA, Spartalis E, Sudan R. Foramen of Winslow Hernia: a Review of the Literature Highlighting the Role of Laparoscopy. Journal of Gastrointestinal Surgery. 2019 Oct 1;23(10):2093-9.

MacDonald K, Hayward S, Nixon M, Holbrook A. An unusual cause of obstructive jaundice in pregnancy. Abdominal imaging. 2011 Jun 1;36(3):318-20.

Numata K, Kunishi Y, Kurakami Y, Tsuchida K, Yoshida T, Osaragi T, Yoneyama K, Kasahara A, Yamamoto Y, Yukawa N, Rino Y. Gallbladder herniation into the lesser sac through the foramen of Winslow: report of a case. Surgery today. 2013 Oct 1;43(10):1194-8.

Kishino T, Kitaichi T, Kanemasa K. Usefulness of water immersion observations to identify the stigmata of hemorrhage in colonic diverticular bleeding. Digestive endoscopy: official journal of the Japan Gastroenterological Endoscopy Society. 2018 Jan;30(1):121.

Daher R, Montana L, Abdullah J, d’Alessandro A, Chouillard E. Laparoscopic management of foramen of Winslow incarcerated hernia. Surgical Case Reports. 2016 Dec;2(1):1-4.

Van Daele E, Poortmans M, Vierendeels T, Potvlieghe P, Rots W. Herniation through the foramen of Winslow: a laparoscopic approach. Hernia. 2011 Aug 1;15(4):447-9.

Sammut M, Barben C. Herniation of the caecum and ascending colon through the foramen of Winslow: a case report and review. The Annals of The Royal College of Surgeons of England. 2020 Feb;102(2):e39-41.

Mahnashi YA, Alshamrani AM, Alabood MA, Alzahrani AM, Sairafi RA. Laparoscopic management of cecum and ascending colon hernia through the foramen of Winslow. Journal of surgical case reports. 2019 Feb;2019(2):rjz026.

Ichikawa Y, Kanazawa A, Dan N, Ishikawa S, Hagi T, Mizojiri G, Tsubakimoto M, Oka H. Case of ileal herniation through the foramen of Winslow diagnosed preoperatively by CT and treated with laparoscopic surgery. Asian Journal of Endoscopic Surgery. 2017 Aug;10(3):328-30.

Refbacks

There are currently no refbacks.