Laparoscopic management of cecum and ascending colon hernia through the foramen of Winslow

Abstract Herniation of gastrointestinal structures through the foramen of Winslow is rare, with patients presenting with nonspecific symptoms. We describe a 47-year-old woman who presented with generalized, intermittent, colicky abdominal pain for a duration of 4 days. An abdominal computed tomograp...

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Bibliographic Details
Published in:Journal of surgical case reports 2019-02, Vol.2019 (2), p.rjz026
Main Authors: Mahnashi, Yasir Abdu, Alshamrani, Abdullah Mohammed, Alabood, Mohammad Abdulaziz, Alzahrani, Ali Mohammed, Sairafi, Rami Abdulrahman
Format: Article
Language:English
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Case Report
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Summary:Abstract Herniation of gastrointestinal structures through the foramen of Winslow is rare, with patients presenting with nonspecific symptoms. We describe a 47-year-old woman who presented with generalized, intermittent, colicky abdominal pain for a duration of 4 days. An abdominal computed tomography scan revealed findings consistent with herniation of the ileocecal junction through the foramen of Winslow. Laparoscopic assisted internal hernia reduction with ileocecal resection and side-to-side ileocolic anastomosis were done. The cecum and terminal ileum were resected due to signs of ischemia. Her postoperative was uneventful, and she was discharged in the second postoperative day. She did not show any signs or symptoms suggestive of complications or recurrence during her follow-up.
ISSN:2042-8812
2042-8812
DOI:10.1093/jscr/rjz026