Strangulated lesser sac hernia

Guinier, D.; Tissot, O

doi:10.1016/j.jviscsurg.2012.02.002

Cited by 7 publications

(7 citation statements)

References 3 publications

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“…Foramen of Winslow hernias was usually managed with a laparotomy 3. However, since the first laparoscopic approach was described in 2010 by Van Daele et al ,2 there have been an increasing number of case reports describing the minimally invasive technique.…”

Section: Discussionmentioning

confidence: 99%

“…Internal hernias are a rare entity, accounting for 0.5%–1% of acute mechanical bowel obstructions 1–3. Among these are lesser sac hernias which can be classified based on the anatomical location of their defect.…”

Section: Introductionmentioning

confidence: 99%

“…Among these are lesser sac hernias which can be classified based on the anatomical location of their defect. These involves defects through the transverse mesocolon, greater omentum, lesser omentum, with most common type through the foramen of Winslow, accounting for 8% of all internal hernias 1–6. The foramen of Winslow is a natural peritoneal orifice that allows communication between the greater peritoneal cavity and lesser sac.…”

Section: Introductionmentioning

confidence: 99%

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Herniation of the hepatic flexure through the foramen of Winslow, and a review of literature describing the minimally invasive technique

Sim¹,

Foster

2019

BMJ Case Rep

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Foramen of Winslow hernias is a rare and challenging diagnosis as signs and symptoms are usually non-specific. CT imaging has become the method of choice in diagnosing such conditions preoperatively. Traditionally managed via laparotomy, there has been an increase in the use of the minimally invasive technique in recent times, though experience remains sparse. This is a case of a 73-year-old woman with hepatic flexure herniation through the foramen of Winslow who was managed by the traditional laparotomy approach. A review of the literature was performed to learn key techniques in the use of laparoscopy to manage future cases.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Herniation of the hepatic flexure through the foramen of Winslow, and a review of literature describing the minimally invasive technique

Sim¹,

Foster

2019

BMJ Case Rep

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“…CT might also reveal a swirling pattern of the mesenteric vessels, engorged mesenteric vessels with a large impact on the surrounding organs and bowel wall thickening [ 13 ]. In addition, a transomental hernia should be suspected if the dilated small bowel loops are localized in the lesser sac (i.e., surrounded to the right by the gallbladder and liver, to the left by the stomach, and posteriorly by the pancreas) and the neck of the hernia orifice is seen as mesenteric vessels passing through the omental defect, with abdominal CT scans showing no evidence of loops passing through the foramen of Winslow between the inferior vena cava and the portal triad [ 14 ]. However, in most cases, a definitive diagnosis is established intraoperatively [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Transomental Hernia

Lee

2016

Ann Coloproctol

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A transomental hernia through the greater or lesser omentum is rare, accounting for approximately 4% of internal hernias. Transomental hernias are generally reported in patients aged over fifty. In such instances, acquired transomental hernias are usual, are commonly iatrogenic, and result from surgical interventions or from trauma or peritoneal inflammation. In rare cases, such as the one described in this study, internal hernias through the greater or lesser omentum occur spontaneously as the result of senile atrophy without history of surgery, trauma, or inflammation. A transomental hernia has a high postoperative mortality rate of 30%, and emergency diagnosis and treatment are critical. We report a case of a spontaneous transomental hernia of the small intestine causing intestinal obstruction. An internal hernia with strangulation of the small bowel in the lesser sac was suspected from the image study. After an emergency laparotomy, a transomental hernia was diagnosed.

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“…Acute mechanical bowel obstruction as a result of herniation into the lesser sac is extremely rare with very few cases described in the literature . In most previous cases, the herniated organ in the lesser sac was the small bowel.…”

mentioning

confidence: 99%

Endoscopic reduction of gastric antrum herniation through the foramen of Winslow into the lesser sac

Huh

Kim

2017

Digestive Endoscopy

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urgent colonoscopy was carried out. Many diverticula were observed on the right side of the colon without active bleeding and blood clots. Some diverticula were very small; therefore, it was difficult to observe inside them. However, by using water immersion and the water jet function, the insides of these diverticula were clearly observed, and a diverticulum with a white plug was detected ( Fig. 2; Video S1). After marking near this diverticulum with a hemoclip, it was treated by elastic band ligation. Bleeding was caused by aspiration of the diverticulum, but stopped immediately. Bleeding did not recur after the treatment.In summary, a clear image is needed in order to identify the stigmata of recent hemorrhage in colonic diverticular bleeding. Water immersion observations represent a useful method for identifying the stigmata of recent hemorrhage.Authors declare no conflicts of interest for this article.

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Strangulated lesser sac hernia

Cited by 7 publications

References 3 publications

Herniation of the hepatic flexure through the foramen of Winslow, and a review of literature describing the minimally invasive technique

Herniation of the hepatic flexure through the foramen of Winslow, and a review of literature describing the minimally invasive technique

Spontaneous Transomental Hernia

Endoscopic reduction of gastric antrum herniation through the foramen of Winslow into the lesser sac

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