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Rare cause of acute pain in the left upper abdominal quadrant

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Abstract

We report a case of a 45-year-old man with acute pain in the left upper abdominal quadrant. Extensive diagnostic workup remained inconclusive. An exploratory laparotomy revealed herniation of the entire ascending colon, together with a part of the terminal ileum through the foramen of Winslow into the bursa omentalis. The internal hernia was further complicated by a perforated appendicitis within the bursa, explaining the acuteness of the symptoms. Reduction of the hernia, appendectomy and colopexy were performed consequently. This would be the first reported case of a perforated appendicitis within the lesser sack.

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Authors and Affiliations

  1. Department of Surgery and Centre of Minimally Invasive Surgery, Hanover Hospital (Siloah), Roesebeckstrasse 15, 30449, Hanover, Germany

    D. Kanellos, F. Kockerling & K. T. Moesta

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  1. D. Kanellos
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  2. F. Kockerling
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  3. K. T. Moesta
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Correspondence to D. Kanellos.

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Kanellos, D., Kockerling, F. & Moesta, K.T. Rare cause of acute pain in the left upper abdominal quadrant. Hernia 12, 659–661 (2008). https://doi.org/10.1007/s10029-008-0382-0

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  • DOI: https://doi.org/10.1007/s10029-008-0382-0

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