Hernia Through the Foramen of Winslow: a Rare Form of Internal Hernia and a Diagnostic Dilemma

2020 ◽  
Vol 82 (4) ◽  
pp. 747-748
Author(s):  
Inampudi Sravya ◽  
Badareesh Lakshminarayana ◽  
Lingadakai Ramachandra ◽  
Ramesh Singaraddi ◽  
Kshama Hegde ◽  
...  
Keyword(s):  
Internal Hernia ◽  
Rare Form ◽  
Diagnostic Dilemma ◽  
Foramen Of Winslow

scholarly journals Laparoscopic management of an ascending colon hernia through the foramen of Winslow

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Cyrille Buisset ◽  
Agathe Postillon ◽  
Sandrine Aziz ◽  
Florian Bilbault ◽  
Guillaume Hoch ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Internal Hernia ◽  
Preoperative Diagnosis ◽  
Clinical Presentation ◽  
Absorbable Suture ◽  
Ascending Colon ◽  
Foramen Of Winslow ◽  
Absorbable Sutures ◽  
The Right ◽  
Epigastric Abdominal Pain

Abstract Herniation through the foramen of Winslow is rare, with a non-specific clinical presentation and his diagnosis may be difficult. A 44-year-old female was admitted with an acute epigastric abdominal pain. A computed tomography showed an internal hernia of the colon in the lesser sac. Laparoscopic reduction of the herniated contents and the fixation of the ascending colon with several non-absorbable sutures were performed. Twenty months after surgery, the patient has not experienced any recurrence. Computed tomography helps practitioners to the preoperative diagnosis of herniation through the foramen of Winslow, to the viability of the herniated contents and presence of occlusion. In case of herniation through the foramen of Winslow favored by a mobile ascending colon with a misapposition of the right Told fascia, the fixation of the colon with a non-absorbable suture was safe and may prevent the risk of recurrent internal hernia and colonic volvulus.

scholarly journals A Case of Strangulated Internal Hernia into the Foramen of Winslow

BMJ ◽  
1886 ◽  
Vol 1 (1329) ◽  
pp. 1163-1163 ◽  
Author(s):  
J. E. Square
Keyword(s):  
Internal Hernia ◽  
Foramen Of Winslow

scholarly journals Internal hernia of caecum through the foramen of Winslow

2019 ◽  
Vol 12 (7) ◽  
pp. e228239
Author(s):  
Faez Ayoob ◽  
Rami Michael ◽  
Zachary Chadnick ◽  
Charles Fasanya
Keyword(s):  
Ct Scan ◽  
Internal Hernia ◽  
Case Reports ◽  
Treatment Options ◽  
Right Hemicolectomy ◽  
X Rays ◽  
Foramen Of Winslow ◽  
Internal Hernias ◽  
Pubmed Database ◽  
Abdominal Ct Scan

Internal hernias through the foramen of Winslow are very rare. An 80-year-old female patient presented with epigastric and right upper quadrant pain associated with abdominal distention, nausea and vomiting for 1 day. A CT scan showed an internal hernia with terminal ileum and caecum identified within the lesser sac. The diagnosis was confirmed by laparotomy. A right hemicolectomy was performed to prevent further recurrence. We reviewed case reports with the same presentation by searching the Pubmed database using the keywords: ‘foramen Winslow hernia, cecum’. We identified 23 publications. Our review extracted the following information: presentation, anatomical findings, pathological causes and surgical management. Misdiagnosis was common due to the limitations of plain abdominal X-rays. Abdominal CT scan is now the preferred radiological study and is more effective in establishing a diagnosis. Surgical treatment options varied. Right hemicolectomy has emerged as the preferred procedure to decrease the rate of recurrence.

Missed diagnosis of a foramen of Winslow internal hernia

2021 ◽  
Author(s):  
Emma‐Anne Karlsen ◽  
Cian Keogh ◽  
Anna Sandstrom ◽  
Chung‐Kwun Won
Keyword(s):  
Internal Hernia ◽  
Foramen Of Winslow ◽  
Missed Diagnosis

scholarly journals XANTHOGRANULOMATOUS PYELONEPHRITIS - A RARE FORM OF CHRONIC CALCULOUS PYELONEPHRITIS

2021 ◽  
Vol 29 (3) ◽  
pp. 370-375
Author(s):  
A.N. Nechiporenko ◽  
◽  
N.A. Nechiporenko ◽  
D.M. Vasilevich ◽  
V.A. Basinsky ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Contrast Enhancement ◽  
Ultrasound Examination ◽  
Final Diagnosis ◽  
Type Ii Diabetes Mellitus ◽  
Xanthogranulomatous Pyelonephritis ◽  
Rare Form ◽  
Diagnostic Dilemma ◽  
X Ray ◽  
X Ray Computed

The article represents the authors’ own observation of the patient with xanthogranulomatous pyelonephritis (XPN). Xanthogranulomatous pyelonephritisis a rare form ofchronic bacterial calculous pyelonephritis. Factors predisposingto thedevelopmentof xanthogranulomatous pyelonephritis include the following: the impairment of theurinary flowalong theurinarytract, type II diabetes mellitus, and chronic inflammation of the kidney. XPN is an uncommon cause of chronic pyelonephritis resulting in non-functioning kidneys and poses a preoperative diagnostic dilemma which may mimic other malignant diseases of a kidney (renal cell carcinoma, leiomyosarcoma) and acute pyelonephritis as a bacterial infection causing inflammation of the kidneys (a renal carbuncle). The patient was examined at the urology clinic of .Grodno State Medical University: general clinical blood and urine tests, ultrasound examination, X-ray computed tomography - native and with contrast enhancement, magnetic resonance imaging were performed. The patient underwent nephrectomy due to the impossibility of organ-preserving surgery - removal of a volumetric formation located at the hilum of the kidney and adjacent to the vessels. Histopathologyof the specimen wasconcludedas xanthogranulomatouspyelonephritis. The patientsunderwentMR examinations, ultrasound examination and X-ray computed tomography with contrast enhancement, but adiagnosisofxanthogranulomatous pyelonephritiswas not confirmed unequivocally. The final diagnosis is usually established only after histologic examinationof biopsy specimens of removed kidney.

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