European Radiology

, Volume 20, Issue 1, pp 249–252

Internal herniation of the caecum into the lesser sac: an unusual cause of an acute abdomen (2009: 10b)

  • Gajan Rajeswaran
  • Sadasivam Selvakumar
  • Chris King
Interpretation Corner


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.


Hernia Internal Caecum Foramen Winslow 


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Copyright information

© European Society of Radiology 2009

Authors and Affiliations

  • Gajan Rajeswaran
    • 1
  • Sadasivam Selvakumar
    • 2
  • Chris King
    • 3
  1. 1.RadiologyChelsea & Westminster HospitalLondonUK
  2. 2.General and Vascular SurgeryLister HospitalStevenageUK
  3. 3.RadiologyLister HospitalStevenageUK

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