Management of an internal hernia through the foramen of Winslow

Trauma Surgery & Acute Care Open

article

Ashley Lauren Titan¹  Joseph M Garagliano¹  David Spain¹ 

[1] Department of Surgery , Stanford University

关键词: abdomen;    general surgery;    Intestine;    Small;   

DOI  :  10.1136/tsaco-2022-000960

学科分类：社会科学、人文和艺术（综合）

来源: BMJ Publishing Group

【 摘 要 】

A middle-aged woman with a history of right breastlobular carcinoma in situ who underwent bilateralmastectomy in 2000 and implant revision on March3, 2022 presented to our hospital after 4 hours ofpostprandial nausea and vomiting. Specifically, shedeveloped sudden-onset nausea and high-volume,non-bloody, non-bilious emesis after eating dinner.She also had obstipation and worsening abdominaldistention. Her labs were significant for a white cellcount of 13.8 x109/L. Her CT scan demonstrateddilated loops of proximal to mid-small bowelmeasuring up to 2.9 cm. A loop of bowel was identified to be extending into the lesser sac through theforamen of Winslow, and there was an abrupt transition point as the small bowel entered and exitedthe foramen of Winslow (figure 1A,B). These findings were concerning for an internal hernia throughthe foramen of Winslow (figure 2).

【 授权许可】

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