Internal herniation of the caecum into the lesser sac: an unusual cause of an acute abdomen (2009: 10b)
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- Rajeswaran, G., Selvakumar, S. & King, C. Eur Radiol (2010) 20: 249. doi:10.1007/s00330-009-1450-2
Internal hernias are rare, occurring in 0.2–0.9% of autopsy cases. Hernias through the foramen of Winslow are even rarer, occurring in up to 8% of internal hernias. The clinical presentation is variable, making diagnosis difficult, and a delay in diagnosis can result in significant morbidity. As such, early radiological diagnosis is paramount. We report a rare case of caecal herniation through the foramen of Winslow in a 49-year-old female patient in whom the diagnosis was made radiologically and allowed appropriate and prompt management.