Ileocecal herniation through the foramen of Winslow: MDCT diagnosis

Azar, A. Rezazadeh; Abraham, Cécile; Coulier, B; Broze, B.

doi:10.1007/s00261-009-9582-z

Cited by 36 publications

(13 citation statements)

References 10 publications

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“…Alternatively, the foramen of Winslow can be packed with omentum [ 11 , 14 ]. Systematic right colectomy, even for viable bowel, has been proposed when appropriate peritonization cannot be achieved due to redundant colon [ 19 – 21 ]. We agree that lack of posterior attachment of the caecum and ascending colon is a confirmed risk factor for FWH and consider that caecopexy to the lateral wall is the most suitable option when the bowel is deemed viable after reduction [ 2 , 6 ].…”

Section: Case Presentationmentioning

confidence: 99%

Laparoscopic management of foramen of Winslow incarcerated hernia

et al. 2016

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Foramen of Winslow hernia (FWH) is a rare and often overlooked diagnosis with a high mortality rate. Widespread availability of cross-sectional imaging allows early diagnosis and prompt management. In this setting, before ischemia occurs, explorative laparoscopy would be the most suitable approach. Experience, however, remains sparse, and technical difficulties may be encountered. This is the case of a 38-year-old Caucasian woman who presented to the emergency department for a sudden epigastric pain. Physical exam was unremarkable, and routine blood tests were within normal range. An abdominal computed tomography (CT) scan confirmed the diagnosis of ileocaecal herniation through the foramen of Winslow. Under urgent laparoscopy, the caecum appeared viable but incarcerated in the lesser sac. Caecal puncture was the key to achieving atraumatic reduction of the hernia and bowel salvage.

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Section: Case Presentationmentioning

confidence: 99%

Laparoscopic management of foramen of Winslow incarcerated hernia

et al. 2016

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“…FWHs account for 8% of all cases of internal hernias [ 2 ]. Difficulty in pre-operative diagnosis leads to a delay in treatment, with a reported mortality rate of approximately 50% in the 1960s [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

A post operative complication of foramen of Winslow hernia with left to right herniation of the small intestine: An extremely rare case report

Fujihata

Kitagami

Yamamoto

et al. 2018

International Journal of Surgery Case Reports

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HighlightsA foramen of Winslow hernia is rare and difficult to diagnose.We report a post operative complication of foramen of Winslow herniation from left to right.There are no previous reports of a foramen of Winslow hernia with this presentation.It has been thought that closure of the foramen is not necessary.However, as there are no reports about the complications due to closing the Foramen of Winslow, the foramen should be closed, whenever possible.

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“…Recent technological advances of MDCT allow for additional standard multiplanar reformation of the views to the coronal and sagittal planes as well as improved visualization of anatomical structures, contributing to greater diagnostic accuracy. MDCT is nowadays the first noninvasive examination for diagnosing various types of internal hernias [1,6,7,8,9]. However, concerning internal hernia involving the sigmoid mesocolon, only a few reports do exist [1,10].…”

Section: Discussionmentioning

confidence: 99%

Usefulness of Oblique Multiplanar Images on Multi-Detector Computed Tomography for Diagnosing Intersigmoid Hernia

et al. 2016

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Background: Intersigmoid hernia is a hernia of the small intestine into the intersigmoid fossa. Because the cavity of the intersigmoid fossa is so small, the preoperative detection of incarcerated intestine and/or mesenteric convergence is very difficult. We report a case of intersigmoid hernia in which the incarcerated bowel and mesenteric convergence could be visualized by oblique multiplanar reconstruction (MPR) images on multi-detector computed tomography (MDCT). Case Report: An 82-year-old man with small bowel obstruction was treated conservatively with a long intestinal tube. Axial plane images of MDCT detected only a thickening of the small bowel wall and a narrowing of the lumen in the pelvis. Since a fourteen-day waiting period did not improve the condition at all, he underwent surgery. The small bowel was herniated into the intersigmoid fossa. After surgery, we studied the preoperative images of MDCT once again. However, neither converged mesentery nor hernia orifice had been depicted. We attempted to make oblique coronal/sagittal MPR images using SYNAPSE VINCENT® and succeeded in visualizing not only the incarcerated bowels but also the hernia orifice and mesenteric convergence. Conclusion: Creating oblique MPR images from the MDCT volume data would help in making a preoperative diagnosis of sigmoid mesocolon hernias such as intersigmoid hernia with increasing confidence.

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Ileocecal herniation through the foramen of Winslow: MDCT diagnosis

Cited by 36 publications

References 10 publications

Laparoscopic management of foramen of Winslow incarcerated hernia

Laparoscopic management of foramen of Winslow incarcerated hernia

A post operative complication of foramen of Winslow hernia with left to right herniation of the small intestine: An extremely rare case report

Usefulness of Oblique Multiplanar Images on Multi-Detector Computed Tomography for Diagnosing Intersigmoid Hernia

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