An Adolescent with Ileum Herniation Through Foramen of Winslow

Abstract

Background: Herniation through foramen of Winslow is a relatively rare group of hernias characterized by protrusion of the abdominal contents into the lesser sac. To our knowledge, this is the youngest and the only reported case related to adolescents in the last five years. Case Presentation: A 15-year-old male patient presented to our emergency department after experiencing 4 hours of acute dull upper abdominal pain. We diagnosed the patient with herniation through foramen of Winslow by computed tomography (CT) and other complementary diagnostic methods. After a 3-trocar laparoscopic procedure, the hernia was successfully repositioned and no bowel resection was required. The patient was discharged on the fourth postoperative day without complications. He was no recurrence six months after operation. Conclusions: Through the review of the literature, it is clear that herniation through foramen of Winslow (HFW) is a more challenging condition to diagnose preoperatively, which can be achieved with the help of complementary diagnostics especially CT. As a category of diseases with a very low postoperative recurrence rate, clinical experience tells us that only three-trocar laparoscopic surgery can successfully return HFW.

A case of abdominal internal hernia through the foramen of Winslow in a pediatric emergency department

“…La reducción de la hernia puede llevarse a cabo de manera laparoscópica o mediante laparotomía. El 30% de los casos descritos entre los años 2017 y 2021 se solucionaron mediante laparoscopia, sin necesidad de reconversión, según la revisión realizada por Huang y col 13 .…”

Internal Hernia Through Foramen of Winslow a Rare Cause of Small Bowel Obstruction: A Case Report

“…The key to diagnosis relies on prompt radiologic studies and the CT scan is nowadays considered the investigation of choice. Various, more or less specific findings have been reported, such as an air-fluid collection in the lesser sac or signs of small bowel obstruction associated with the presence of mesenteric vessels stretching anterior to the inferior vena cava and posterior to the portal vein; the absence of the ascending colon in the right gutter and an antero-lateral displacement of the stomach [7,8].…”