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Ileocecal herniation through the foramen of Winslow: MDCT diagnosis

Afshin Rezazadeh Azar1, Cécile Abraham, Bruno Coulier

  • 1Department of Diagnostic Radiology, Clinique St. Luc, Rue St. Luc, 8, 5004, Bouge, Namur, Belgium. rezazadeh_afshin@yahoo.fr

Abdominal Imaging
|October 30, 2009
PubMed

Insights

A rare internal hernia caused a small bowel obstruction in a 45-year-old female. High-quality computed tomography (CT) with multiplanar reconstructions and vascular rendering accurately diagnosed the condition preoperatively.

Area of Science:

  • Gastroenterology
  • Radiology
  • Surgical Anatomy

Background:

  • Internal hernias are rare causes of small bowel obstruction.
  • The foramen of Winslow is an uncommon site for internal hernias.

Observation:

  • A 45-year-old female presented with symptoms of acute intestinal obstruction.
  • Physical examination revealed abdominal pain, distention, and nausea.

Findings:

  • A 64-row multi-detector computed tomography (CT) scan provided a definitive preoperative diagnosis.
  • The obstruction was caused by an internal hernia involving the terminal ileum and cecum through the foramen of Winslow.
  • CT multiplanar reconstructions and vascular volume rendering analysis were crucial for diagnosis.

Implications:

  • This case highlights the diagnostic utility of advanced CT techniques for rare internal hernias.
  • Accurate preoperative diagnosis can guide surgical management and improve patient outcomes.
  • Understanding the anatomy of the foramen of Winslow is critical for diagnosing such hernias.

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