Caecal herniation through the foramen of Winslow: a rare cause of bowel obstruction

Foramen of Winslow hernia is a rare cause of bowel obstruction, historically linked to high morbidity and mortality. With the progression of high-resolution imaging devices, the early diagnosis of this pathology can be safely made. This has caused significant improvement in outcomes, where prompt surgical reduction can be readily organized. There has, however, not been any reported case of Meckel’s diverticulum driving this internal hernia. This is a case report of a foramen of Winslow hernia (FOWH) containing a Meckel’s diverticulum, managed via laparoscopic reduction of hernia contents and diverticulectomy.

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Acute small bowel obstruction due to internal herniation through the Foramen of Winslow: CT diagnosis and laparoscopic treatment

Journal of Visceral Surgery ◽

10.1016/j.jviscsurg.2013.09.002 ◽

2013 ◽

Vol 150 (5) ◽

pp. 349-351 ◽

Cited By ~ 4

Author(s):

A. May ◽

N. Cazeneuve ◽

C. Bourbao-Tournois

Keyword(s):

Small Bowel ◽

Small Bowel Obstruction ◽

Bowel Obstruction ◽

Internal Herniation ◽

Laparoscopic Treatment ◽

Ct Diagnosis ◽

Foramen Of Winslow ◽

Acute Small Bowel Obstruction

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Internal herniation through the foramen of Winslow: a rare cause of bowel obstruction

ANZ Journal of Surgery ◽

10.1111/ans.13124 ◽

2015 ◽

Vol 87 (11) ◽

pp. E204-E205 ◽

Cited By ~ 1

Author(s):

Mustafa Ozsoy ◽

Taner Ozkececi ◽

Murat Akici ◽

Mustafa Kalkan ◽

Ahmet Katirağ ◽

...

Keyword(s):

Bowel Obstruction ◽

Internal Herniation ◽

Foramen Of Winslow

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Laparoscopic repair of incarcerated transverse colon internal hernia in a patient with Crohn’s disease

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa482 ◽

2020 ◽

Vol 2020 (12) ◽

Author(s):

Hazim Hakmi ◽

Hassan Hashmi ◽

Jackson Hunt ◽

Jun Levine

Keyword(s):

Crohn’S Disease ◽

Crohn's Disease ◽

Minimally Invasive ◽

Bowel Obstruction ◽

Laparoscopic Repair ◽

Internal Hernia ◽

Case Reports ◽

Foramen Of Winslow ◽

Surgical History ◽

Bowel Herniation

Abstract Internal hernia is a rare cause of bowel obstruction in patients with no prior surgical history. Laparoscopic repair of a transverse bowel herniation through the foramen of Winslow is the rarest type of internal hernia, with only two case reports published in the literature. In a patient with a history with Crohn’s disease and no prior surgical history, presenting with signs of bowel obstruction, and no inflammatory symptoms, internal hernia should be suspected as one of the causes. Minimally invasive laparoscopic repair is a feasible safe option in those patients, allowing patients to go home the next day postoperatively.

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Laparoscopic management of a small bowel obstruction: paraduodenal hernia

International Surgery Journal ◽

10.18203/2349-2902.isj20203498 ◽

2020 ◽

Vol 7 (9) ◽

pp. 3112

Author(s):

Shrenik Govindaraj ◽

Sridar Govindaraj ◽

Mario Victor Newton ◽

Clement Prakash

Keyword(s):

Small Bowel ◽

Ct Scan ◽

Small Bowel Obstruction ◽

Bowel Obstruction ◽

Internal Hernia ◽

Paraduodenal Hernia ◽

Small Bowel Mesentery ◽

Foramen Of Winslow ◽

One Year

Paraduodenal hernia are very rare but the commonest internal hernia. Left paraduodenal hernia is due to herniation of the small bowel into the fossa of Landzert. The fossa results from a combination of failure of fusion of the small bowel mesentery with the retro peritoneum and malrotation of the midgut. Here we present a 27 years lady who saw multiple consultants with varied presentations and underwent extensive investigations over a one-year period, with one consultant referring her to a psychiatrist for malingering. CT scan revealed a foramen of Winslow hernia. The radiologist has to be aware of the CT findings of this unusual hernia. At laparoscopy, it was a left paraduodenal containing small bowel. We reduced the contents and plicated the sac with closure of the mouth. Patient did well and was discharged on 3rd post-operative day. On follow up she is doing well.

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