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Cecal internal hernia through Winslow's hiatus

Martin Chrabalowski1, Priscila Begue1, Franco Corvatta1

  • 1Hospital Italiano de Buenos Aires.

Revista De La Facultad De Ciencias Medicas (Cordoba, Argentina)
|October 1, 2024
PubMed

Insights

A rare cecum hernia through the foramen of Winslow was successfully treated using laparoscopy. This minimally invasive approach offers benefits for managing this potentially life-threatening condition.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Abdominal Surgery

Background:

  • Foramen of Winslow hernias, also known as Blandin's hernias, are rare and pose diagnostic and therapeutic challenges.
  • This case report details a successful laparoscopic management of a cecum herniated through the foramen of Winslow.

Observation:

  • A 63-year-old female presented with acute abdominal pain and nausea.
  • CT imaging revealed a cecum and terminal ileum herniated through the foramen of Winslow, causing gastric chamber and portal vein compression.
  • Periportal edema was noted, indicating potential complications.

Findings:

  • Laparoscopic right colectomy was performed after successful evacuation of colon contents to facilitate reduction.
  • The procedure was successful, with no intraoperative complications.
  • The patient recovered well, despite requiring percutaneous drainage for postoperative abdominal collections.

Implications:

  • Laparoscopy is a valuable minimally invasive technique for managing foramen of Winslow hernias.
  • Early diagnosis via CT scan is critical for timely surgical intervention and preventing severe complications such as intestinal ischemia.
  • This case underscores the importance of advanced imaging and laparoscopic surgery in treating rare abdominal emergencies.
Abstract

Keywords:
internal herniacecumlaparoscopyColectomy

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