Case Report


, Volume 15, Issue 4, pp 447-449

First online:

Herniation through the foramen of Winslow: a laparoscopic approach

  • E. Van DaeleAffiliated withUZ Brussel Email author 
  • , M. PoortmansAffiliated withASZ Aalst
  • , T. VierendeelsAffiliated withASZ Aalst
  • , P. PotvliegheAffiliated withASZ Aalst
  • , W. RotsAffiliated withDepartment of Digestive Surgery, ASZ Aalst

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We describe a case of a young woman with acute epigastric pain. Extensive diagnostic workup suggested a hernia through the foramen of Winslow. A laparoscopic exploration of the abdomen revealed an internal herniation of the cecum and ascending colon behind the hepatoduodenal ligament into the lesser sac. Successful management requires prompt diagnosis and surgical treatment. In our case the internal herniation was uncomplicated and could be reduced laparoscopically. To our knowledge, this is the first documented case of a laparoscopiccally treated Winslow hernia.


Winslow hernia Internal abdominal hernia Intestinal obstruction Hernia into the lesser sac Laparoscopic reduction