Laparoscopic management of cecum and ascending colon hernia through the foramen of Winslow

Journal of Surgical Case Reports
Yasir Abdu MahnashiRami Abdulrahman Sairafi

Abstract

Herniation of gastrointestinal structures through the foramen of Winslow is rare, with patients presenting with nonspecific symptoms. We describe a 47-year-old woman who presented with generalized, intermittent, colicky abdominal pain for a duration of 4 days. An abdominal computed tomography scan revealed findings consistent with herniation of the ileocecal junction through the foramen of Winslow. Laparoscopic assisted internal hernia reduction with ileocecal resection and side-to-side ileocolic anastomosis were done. The cecum and terminal ileum were resected due to signs of ischemia. Her postoperative was uneventful, and she was discharged in the second postoperative day. She did not show any signs or symptoms suggestive of complications or recurrence during her follow-up.

References

May 10, 2007·Surgical and Radiologic Anatomy : SRA·O ArmstrongJ M Rogez
May 15, 2010·Hernia : the Journal of Hernias and Abdominal Wall Surgery·E Van DaeleW Rots
Oct 12, 2010·Abdominal Imaging·Kelly MacDonaldAnthony Holbrook
Oct 20, 2011·Hernia : the Journal of Hernias and Abdominal Wall Surgery·R González CondeF J Gómez Lorenzo
Oct 30, 2013·ANZ Journal of Surgery·Jennifer RyanRod Jacobs
Nov 2, 2014·Surgical Endoscopy·Cristina R HarnsbergerSantiago Horgan
May 14, 2016·International Journal of Surgery Case Reports·Lucia E DuinhouwerR T J Kortekaas

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BETA
imaging techniques
X-ray

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