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Kikhlyarov P.V.

Davydovsky Moscow City Clinical Hospital

Murvatova K.K.

Sechenov First Moscow State Medical University

Yunusov A.A.

Davydovsky Moscow City Clinical Hospital

Strangulated hernia of the foramen of Winslow complicated by acute colonic obstruction

Authors:

Kikhlyarov P.V., Murvatova K.K., Yunusov A.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(8): 92‑95

DOI: 10.17116/hirurgia202408192

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To cite this article:

Kikhlyarov PV, Murvatova KK, Yunusov AA. Strangulated hernia of the foramen of Winslow complicated by acute colonic obstruction. Pirogov Russian Journal of Surgery. 2024;(8):92‑95. (In Russ.)
https://doi.org/10.17116/hirurgia202408192

Подписка 2025 (Pirogov Russian Journal of Surgery)
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Internal hernias, in particular, hernia of the foramen of Winslow, are rare and occur in typical sites. Laparotomy is common in these cases while laparoscopic surgery is rarely used in such urgent cases. However, modern diagnosis and treatment including computed tomography and laparoscopy allowing minimally invasive interventions are not an exception for patients with hernia of the foramen of Winslow. This approach is effective for this problem and prevents adverse outcomes of disease.

Keywords:

hernia of the foramen of Winslow
omentum
intestinal obstruction
laparoscopy
computed tomography

Authors:

Kikhlyarov P.V.

Davydovsky Moscow City Clinical Hospital

Murvatova K.K.

Sechenov First Moscow State Medical University

Yunusov A.A.

Davydovsky Moscow City Clinical Hospital

Received:

10.12.2023

Accepted:

16.01.2024

List of references:

  1. Mulkey E, Stewart G, Enrique E, El-Sabrout R. Large bowel obstruction secondary to a cecal bascule with internal herniation through the foramen of Winslow: A case report. International journal of surgery case reports. 2022;94:107123. https://doi.org/10.1016/j.ijscr.2022.107123
  2. Kitaev VM, Koshelev EG, Sokolova OV, Belyaev GYu, Egorov AA, Kurzantseva OO. Internal hernias as one of the causes of abdominal pain. Clinical practice. 2019;10(2):27-35. (In Russ.).
  3. Downs P, Downes N, Zayshlyy E, Esper C, Giuseppucci P. Internal hernia through the foramen of Winslow. Journal of Surgical Case Reports. 2018;2018(12):rjy329. https://doi.org/10.1093/jscr/rjy329
  4. Honma S, Itohara T, Sha S, Onoyama H. Laparoscopic surgery in a patient with foramen of Winslow hernia due to large uterine fibroids: a case report and literature review. Surgical Case Reports. 2021;7(1):77.  https://doi.org/10.1186/s40792-021-01162-2
  5. Daher R, Montana L, Abdullah J, d’Alessandro A, Chouillard E. Laparoscopic management of foramen of Winslow incarcerated hernia. Surgical Case Reports. 2016;2(1):9.  https://doi.org/10.1186/s40792-016-0139-4
  6. Williams AM, Pickell Z, Shen MR, Sangji N. Cecal bascule herniation through the foramen of Winslow. Autopsy and Case Reports. 2021;11:e2020236. https://doi.org/10.4322/acr.2020.236
  7. Buisset C, Postillon A, Aziz S, Bilbault F, Hoch G, Nesseler JP, Johann M. Laparoscopic management of an ascending colon hernia through the foramen of Winslow. Journal of Surgical Case Reports. 2020;2020(9):rjaa283. https://doi.org/10.1093/jscr/rjaa283
  8. Martin LC, Merkle EM, Thompson WM. Review of internal hernias: radiographic and clinical findings. AJR. American journal of roentgenology. 2006;186(3):703-717.  https://doi.org/10.2214/AJR.05.0644
  9. Takeyama N, Gokan T, Ohgiya Y, Satoh S, Hashizume T, Hataya K, Kushiro H, Nakanishi M, Kusano M, Munechika H. CT of internal hernias. Radiographics. 2005;25(4):997-1015. https://doi.org/10.1148/rg.254045035
  10. González Conde R, Pardo Rojas P, Valeiras Domínguez E, Pérez López C, Santos Lloves R, Gómez Lorenzo FJ. Correct preoperative diagnosis of herniation through the Foramen of Winslow: two case reports. Hernia. 2013;17(3):409-414.  https://doi.org/10.1007/s10029-011-0889-7
  11. Dorian AL, Stein GN. Hernia through foramen of Winslow: report of a case with preoperative roentgen diagnosis and successful surgical management. Surgery. 1954;35(5):795-801. 
  12. Harnsberger CR, McLemore EC, Broderick RC, Fuchs HF, Yu PT, Berducci M, Beck C, Almadani M, Jacobsen GR, Horgan S. Foramen of Winslow hernia: a minimally invasive approach. Surgical endoscopy. 2015;29(8):2385-2388. https://doi.org/10.1007/s00464-014-3944-5

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