The Japanese journal of surgery

, Volume 7, Issue 3, pp 151–157 | Cite as

Hernia through the foramen of Winslow

  • Ryusuke Ohkuma
  • Koji Miyazaki


A case of hernia through the foramen of Winslow diagnosed preoperatively is reported. Although the preoperative diagnosis is difficult to make because of the nonspecific symptoms presented and the rarity of the disease, careful evaluation of the plain abdominal X-ray and barium enema study gave the clue in the present case. Review of the literature including those from Japan revealed 115 cases up to 1976, of which diagnosis was established preoperatively in 11 cases.

Key words

intraabdominal hernia hernia through the foramen of Winslow radiologic diagnosis barium enema 


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  1. 1.
    Alexander, M.S.: Hernia through the foramen of Winslow,Aust. N.Z.J. Surg. 46: 54–56, 1976.PubMedGoogle Scholar
  2. 2.
    Cimmino, C.V.: Lesser sac hernia via the foramen of Winslow; A case report,Radiology 60: 57–59, 1953.PubMedGoogle Scholar
  3. 3.
    Dardick, H.: Herniation of the gallbladder through the epiploic foramen into the lesser sac,Ann. Surg. 165: 644–646, 1967.CrossRefGoogle Scholar
  4. 4.
    Dorian, A.L. and Stein, G.N.: Hernia through foramen of Winslow; Report of a case with preoperative roentgen diagnosis and successful surgical management,Surgery 35: 795–801, 1954.PubMedGoogle Scholar
  5. 5.
    Erskine, J.M.: Hernia through the foramen of Winslow,Surg. Gynecol. Obstet. 125: 1093–1109, 1967.PubMedGoogle Scholar
  6. 6.
    Hakami, M., Habibzadeh, S. and Mosavy, S.H.: Hernia through the foramen of Winslow,Amer. Surg. 41: 355–357, 1975.Google Scholar
  7. 7.
    Hansmann, G.H. and Morton, S.A.: Intraabdominal hernia; Report of a case and review of the literature,Arch. Surg. 39: 973–986, 1939.Google Scholar
  8. 8.
    Harned, R.K. and Farley, G.E.: Herniation of cecum and terminal ileum through the foramen of Winslow,Amer. J. Gastroenterol. 61: 304–307, 1974.Google Scholar
  9. 9.
    Henisz, A., Matesanz, J. and Westcott, J.L.: Cecal herniation through the foramen of Winslow,Radiology, 112: 575–578, 1974.PubMedGoogle Scholar
  10. 10.
    Hollenberg, M.S.: Radiographic diagnosis of hernia into the lesser peritoneal sac through the foramen of Winslow; Report of a case,Surgery 18: 498–502, 1945.Google Scholar
  11. 11.
    Levarde, J. and Chevret, R.: Contribution a l'etude radiologique des occulusions hernie étranglée de l'hiatus de Winslow,Presse méd. 57: 562–563, 1949.Google Scholar
  12. 12.
    Le Douarec, Ph., Lecossais, J.C., Testart, J. and Jounneau, P.: La hernie du hiatus de Winslow; A propos d'une nouvelle observation,Ann. Chir. 28: 67–74, 1974.PubMedGoogle Scholar
  13. 13.
    McKail, R.A.: Hernia through the foramen of Winslow, hernia traversing the lesser sac, and allied conditions; The radiological diagnosis and differential diagnosis,Brit. J. Radiol. 34: 611–618, 1961.CrossRefGoogle Scholar
  14. 14.
    Murata, Y. and Yoshikawa, K.: Hernia through the foramen of Winslow; Report of a case,Rinsho Hoshasen 7: 451–455, 1962 (in Japanese with English summary).Google Scholar
  15. 15.
    Rene, L. and Garcia-Moran, M.: Triad symptomatique pour le diagnostic de l'étranglement herniaire a travers l'hiatus de Winslow,Mém. Acad. Chir., Par. 90: 878–881, 1964.Google Scholar
  16. 16.
    Riedler, L., Haselbach, H. and Schwamberger, K.: Bursa omentalis-Hernie durch das Foramen Winslow,Chirurg 46: 382–384, 1975.PubMedGoogle Scholar
  17. 17.
    Smoot, J.L.: Hernia through the foramen of Winslow,Ann. Surg. 136: 1040–1043, 1952.PubMedGoogle Scholar
  18. 18.
    Takamatsu, S.: A case of lesser sac hernia,Geka 15: 186–188, 1953 (in Japanese).Google Scholar
  19. 19.
    Tonegawa, H., Takabayashi, J., Nanba, A. and Okuno, T.: Hernia through the foramen of Winslow; Report of a case,Nihon Gekagakkai Zasshi 70: 127, 1969 (in Japanese).Google Scholar
  20. 20.
    Yamanaka, T.: Hernia through the foramen of Winslow; Report of a successfully treated case,Nihon Rinshogekaigakkai Zasshi 24: 127, 1963 (in Japanese).Google Scholar
  21. 21.
    Yamasaki, Y., Isohashi, T., Ohkawa, H. and Takahashi, K.: Lesser sac hernia; Report of 2 successfully treated cases,Nihon Gekagakkai Zasshi 68: 303, 1967 (in Japanese).Google Scholar
  22. 22.
    Zer, M. and Dintman, M.: Incarcerated “Foramen of Winslow” hernia in a newborn,J. Pediat. Surg. 8: 325, 1973.PubMedGoogle Scholar

Copyright information

© The Japan Surgical Society 1977

Authors and Affiliations

  • Ryusuke Ohkuma
    • 1
  • Koji Miyazaki
    • 1
  1. 1.Department of SurgeryShimonoseki National HospitalShimonosekiJapan

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