Abstract
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.
References
Martin L, Merkle E, Thompson W (2006) Review of internal hernias: radiographic and clinical findings. Am J Radiol 186:703–717
Osvaldt A, Mossman D, Bersch V (2008) Intestinal obstruction caused by a foramen of Winslow hernia. Am J Surg 196:242–244
Selcuk D, Kantarci F, Ogut G (2005) Radiological evaluation of internal abdominal hernias. Turk J Gastroenterol 16(2):57–64
Iribarren Diaz M, Rivo Vazquez A, de Castro Parga G (2009) Internal hernia through the foramen of Winslow associated with an incomplete rotation of the medium intestine. Rev Esp Enferm Dig 101(1):71–80
Kanellos D, Kockerling F, Moesta K (2008) Rare cause of acute abdominal pain in the left upper abdominal quadrant. Hernia 12:659–661
Forbes S, Stephen W (2006) Herniation through the foramen of Winslow: radiographic and intraoperative findings. J Can Chi 49(5):362–363
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Van Daele, E., Poortmans, M., Vierendeels, T. et al. Herniation through the foramen of Winslow: a laparoscopic approach. Hernia 15, 447–449 (2011). https://doi.org/10.1007/s10029-010-0671-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10029-010-0671-2