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Internal hernia presenting as obstructive jaundice and acute pancreatitis
1Dept of Internal Medicine, Chonnam National University Medical School, Kwangju, Korea. mareejb@netian.com
Scandinavian Journal of Gastroenterology
|September 17, 2002
Summary
A rare case of internal hernia through the foramen of Winslow caused obstructive jaundice and acute pancreatitis. This small bowel herniation compressed the bile duct, leading to these serious complications.
Area of Science:
- Gastroenterology and Hepatology
- Abdominal Imaging
- Surgical Case Reports
Background:
- Internal hernias, particularly through the foramen of Winslow, are rare causes of bowel obstruction.
- Obstructive jaundice and acute pancreatitis are serious conditions that can arise from various etiologies.
Observation:
- A 45-year-old man presented with obstructive jaundice and acute pancreatitis.
- Imaging revealed herniated small bowel loops in the gastrohepatic space, compressing the common bile duct and causing pancreatic swelling.
Findings:
- The patient had an internal herniation of a jejunal loop through a gastrocolic ligament defect into the lesser sac, exiting via the foramen of Winslow.
- This herniation caused external compression of the common bile duct, leading to obstructive jaundice and mild pancreatitis.
Implications:
- This case highlights a previously unreported cause of obstructive jaundice and acute pancreatitis due to foramen of Winslow internal hernia.
- Early diagnosis via advanced imaging (CT, MRI) is crucial for timely surgical intervention in such rare anatomical emergencies.