Foramen of Winslow hernia: a minimally invasive approach

Harnsberger, Cristina R.; McLemore, Elisabeth C.; Broderick, Ryan C.; Fuchs, Hans; Yu, Peter T.; Berducci, Martin; Beck, Cathy; Almadani, Moneer E.; Jacobsen, Garth R.; Horgan, Santiago

doi:10.1007/s00464-014-3944-5

Cited by 32 publications

(73 citation statements)

References 19 publications

(25 reference statements)

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“…This is likely to be due to the early assessment and diagnosis, resulting in more stable patients, who are suitable for a minimally invasive operation in contrast to exploratory laparotomy. Widespread access to laparoscopic equipment, as well as widely disseminated laparoscopic training also plays an important role [5,6]. There has been some discussion as to whether to perform prophylactic surgical measures to prevent recurrence (foramen closure), with insufficient data to support either [2,7].…”

Section: Discussionmentioning

confidence: 99%

Meckel’s Diverticulum in Foramen of Winslow Hernia – A Rare Cause of Bowel Obstruction

Bendinelli¹,

Machado²

2020

IJSCR

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Foramen of Winslow hernia is a rare cause of bowel obstruction, historically linked to high morbidity and mortality. With the progression of high-resolution imaging devices, the early diagnosis of this pathology can be safely made. This has caused significant improvement in outcomes, where prompt surgical reduction can be readily organized. There has, however, not been any reported case of Meckel’s diverticulum driving this internal hernia. This is a case report of a foramen of Winslow hernia (FOWH) containing a Meckel’s diverticulum, managed via laparoscopic reduction of hernia contents and diverticulectomy.

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Section: Discussionmentioning

confidence: 99%

Meckel’s Diverticulum in Foramen of Winslow Hernia – A Rare Cause of Bowel Obstruction

Bendinelli¹,

Machado²

2020

IJSCR

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“…One case was excluded, due to the lack of detailed patient history and presentation. The cases were published between 1967 and 2016 describing 24 patients with internal hernias through the foramen of Winslow, 1–3 5–21…”

Section: Discussionmentioning

confidence: 99%

“…Confirmation of this diagnosis may be obtained intraoperatively. Our review showed that erect chest and/or abdominal X-rays were done in many of the reported cases to help rule out a bowel perforation 5 7 12–15 17 19–22. Obstructive series and abdominal ultrasound were also used.…”

Section: Discussionmentioning

confidence: 99%

Internal hernia of caecum through the foramen of Winslow

Ayoob

Michael

Chadnick³

et al. 2019

BMJ Case Rep

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Internal hernias through the foramen of Winslow are very rare. An 80-year-old female patient presented with epigastric and right upper quadrant pain associated with abdominal distention, nausea and vomiting for 1 day. A CT scan showed an internal hernia with terminal ileum and caecum identified within the lesser sac. The diagnosis was confirmed by laparotomy. A right hemicolectomy was performed to prevent further recurrence. We reviewed case reports with the same presentation by searching the Pubmed database using the keywords: ‘foramen Winslow hernia, cecum’. We identified 23 publications. Our review extracted the following information: presentation, anatomical findings, pathological causes and surgical management. Misdiagnosis was common due to the limitations of plain abdominal X-rays. Abdominal CT scan is now the preferred radiological study and is more effective in establishing a diagnosis. Surgical treatment options varied. Right hemicolectomy has emerged as the preferred procedure to decrease the rate of recurrence.

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“…Management involves urgent surgical reduction with bowel decompression and resection of nonviable tissue, frequently open surgery will be required. 7,8 Historically, patients presenting with typical abdominal pain were investigated with explorative laparotomy, the diagnosis was made intraoperatively and often led to bowel resection because of ischemia. Such diagnostic delay therefore resulted in high morbidity and mortality.…”

Section: Discussionmentioning

confidence: 99%

Caecal Herniation through the Foramen of Winslow: A Lesser Known Complication of the Lesser Sac

Charters

Lowe

Keogan

et al. 2019

Journal of Gastrointestinal and Abdominal Radiology

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The foramen of Winslow is the omental communication between the greater and lesser sac. An internal hernia through the foramen of Winslow is extremely rare, accounting for <0.1% of abdominal hernias and 8% of internal hernias. The majority of lesser sac hernias contain small bowel only, less commonly cecum or omentum. Diagnostic delay is associated with high morbidity and mortality, and accurate radiological interpretation is invaluable to guide surgical intervention. As such, the recognition of foramen of Winslow herniation on computed tomography (CT) is paramount. We present a case of caecal herniation that was recognized early and reversed within 48 hours of presentation, without the need for bowel resection.

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Foramen of Winslow hernia: a minimally invasive approach

Cited by 32 publications

References 19 publications

Meckel’s Diverticulum in Foramen of Winslow Hernia – A Rare Cause of Bowel Obstruction

Meckel’s Diverticulum in Foramen of Winslow Hernia – A Rare Cause of Bowel Obstruction

Internal hernia of caecum through the foramen of Winslow

Caecal Herniation through the Foramen of Winslow: A Lesser Known Complication of the Lesser Sac

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