Skip to main content
SpringerLink
Log in

Ileocecal herniation through the foramen of Winslow: MDCT diagnosis

  • Published:
Abdominal Imaging Aims and scope Submit manuscript

Abstract

We report a rare case of small bowel obstruction of a 45-year-old female which was caused by internal hernia of the terminal ileum and cecum through the foramen of Winslow. The patient presented to the emergency department with acute abdominal pain, distention, and nausea, suggesting an intestinal obstruction. The complete unambiguous preoperative diagnosis was achieved by a 64-row multi-detector computed tomography. This report enlightens the utility and performances of high-quality computed tomography multiplanar reconstructions combined with vascular volume rendering analysis for the diagnosis of internal hernia.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. Martin L, Merkle E, Thompson W (2006) Review of internal hernias: radiographic and clinical findings. AJR 186:703–717

    Article  PubMed  Google Scholar 

  2. Mathieu D, Luciani A (2004) Internal abdominal herniations: pictorial essay. AJR 183:397–404

    PubMed  Google Scholar 

  3. Li J, Chu D, Lee D, Chan A (2005) Small-bowel intestinal obstruction caused by an unusual internal hernia. Asian J Surg 28:62–64

    Article  PubMed  Google Scholar 

  4. Takeyama N, Gokan T, Ohgiya Y (2005) CT of internal hernias. Radiographics 25:997–1015

    Article  PubMed  Google Scholar 

  5. Blachar A, Federle M (2002) Internal hernia: an increasingly common cause of small bowel obstruction. Semin Ultrasound CT MR 23:174–183

    Article  PubMed  Google Scholar 

  6. Bruot O, Laurent V, Tissier S (2007) Colon CT exploration of an internal hernia of the ascending cecocolon through the hiatus of Winslow. J Radiol 88:393–396

    Article  CAS  PubMed  Google Scholar 

  7. Inoue Y, Nakamura H, Mizumoto S, Akashi H (1996) Lesser sac hernia through the gastrocolic ligament: CT diagnosis. Abdom Imaging 21:145–147

    Article  CAS  PubMed  Google Scholar 

  8. Forbes S, Stephen W (2006) Herniation through the foramen of Winslow: radiographic and intraoperative findings. Can J Surg 49:362–363

    PubMed  Google Scholar 

  9. Saida Y, Nagao J, Takase M (2000) Herniation through both Winslow’s foramen and a lesser omental defect: report of a case. Surg Today 30:544–547

    Article  CAS  PubMed  Google Scholar 

  10. Okayasu K, Tamamoto F, Nakanishi A (2002) A case of incarcerated lesser sac hernia protruding simultaneously through both the gastrocolic and gastrohepatic omenta. Radiat Med 20:105–107

    PubMed  Google Scholar 

  11. Tran T, Regan F, Al-Kutoubi M (1991) Computed tomography of lesser sac hernia through the gastrohepatic omentum. Br J Radiol 64:372–374

    Article  CAS  PubMed  Google Scholar 

  12. Lohmann M, Moller P, Brynitz S (1985) Intestinal obstruction due to herniation through the lesser omentum. Acta Chir Scand 151:641–642

    CAS  PubMed  Google Scholar 

  13. Yasuda S, Inatsugi N, Sakurai T (1989) A case of intestinal obstruction due to a hernia traversing the lesser sac. Jpn J Surg 19:70–73

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Diagnostic Radiology, Clinique St. Luc, Rue St. Luc, 8, 5004, Bouge, Namur, Belgium

    Afshin Rezazadeh Azar, Cécile Abraham & Bruno Coulier

  2. Department of Abdominal Surgery, Clinique St. Luc, Rue St. Luc 8, 5004, Bouge, Namur, Belgium

    Bernard Broze

Authors
  1. Afshin Rezazadeh Azar
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Cécile Abraham
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Bruno Coulier
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Bernard Broze
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Afshin Rezazadeh Azar.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rezazadeh Azar, A., Abraham, C., Coulier, B. et al. Ileocecal herniation through the foramen of Winslow: MDCT diagnosis. Abdom Imaging 35, 574–577 (2010). https://doi.org/10.1007/s00261-009-9582-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00261-009-9582-z

Keywords

Search

Navigation