Retroperitoneal cecal volvulus: a complication of a rare internal hernia – a case report

Abstract

Introduction and Importance: The foramen of Winslow Hernia (FWH) is a rare type of internal hernia. In one-third of cases, the cecum was found in the lesser sac. More rarely, the herniated cecum might be volvulated, which represents 1-1.5% of the causes of intestinal obstruction. Once diagnosed, surgical reduction and/or resection of the non viable herniated bowel is crucial for a positive outcome. Case Presentation: We report a case of retroperitoneal cecal volvulus that complicated FWH in a patient with history of laparoscopic cholecystectomy. Clinical Discussion: A delay in the diagnosis is associated with high morbidity and even higher mortality. Because of lacking a consensus, the treatment of FWH depends on the team’s surgical experience. Conclusion: Reporting this case will help us to keep in mind this differential diagnosis while treating patients in our daily practice.