Internal herniation of the cecum through the foramen of Winslow

There are five general developmental abnormalities that may result in internal herniation of bowel contents in the abdomen, of which the latter three are responsible for the herniation discussed in this case: (1) abnormal retroperitoneal fixation of the mesentery resulting in anomalous positioning o...

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Bibliographic Details
Published in:The American surgeon 2009-12, Vol.75 (12), p.1252-1253
Main Authors: Webb, Leland H, Riordan, William P
Format: Article
Language:English
Subjects:
Cecal Diseases - diagnostic imaging
Cecal Diseases - surgery
Colon
Female
Hernia - diagnostic imaging
Herniorrhaphy
Humans
Laparoscopy
Middle Aged
Mortality
Tomography, X-Ray Computed
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Summary:There are five general developmental abnormalities that may result in internal herniation of bowel contents in the abdomen, of which the latter three are responsible for the herniation discussed in this case: (1) abnormal retroperitoneal fixation of the mesentery resulting in anomalous positioning of the intestine (e.g., mesocolic or paraduodenal hernias); (2) incomplete mesenteric surfaces with the presence of an abnormal opening through which the intestine herniates (e.g., mesenteric hernias); (3) abnormally large internal foramina or fossae (e.g., foramen of Winslow and supravesical hernias); (4) an abnormally long small-bowel mesentery; (5) and an elongated right hepatic lobe thought to guide bowel into the foramen of Winslow.1· 4 Internal hernias of all causes account for approximately 0.5 to 5.8 per cent of all cases of intestinal obstruction. [...] we have described a minimally invasive approach to reduction of an internal hernia through the foramen of Winslow.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313480907501220