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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1465320PMC
http://dx.doi.org/10.1097/00000658-195608000-00026DOI Listing

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Internal herniation through the foramen of Winslow (FoW) is a rare, life-threatening diagnosis. We present a case of intestinal obstruction due to herniation of the ileum, cecum, appendix, and ascending colon through the FoW. We reduced the herniation using a small colotomy and preserved the entirety of the bowel.

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Article Synopsis
  • The case report discusses Blandin's hernia, a rare and serious condition involving a hernia through Winslow's hiatus, and highlights a successful laparoscopic surgical approach used in a 63-year-old female patient.* -
  • The patient experienced 24 hours of abdominal pain and nausea, leading to a CT scan that revealed a herniated cecum and terminal ileum, requiring a laparoscopic right colectomy after clearing colon contents.* -
  • The case emphasizes the effectiveness of laparoscopic techniques in treating this type of hernia, underlining the importance of early imaging diagnosis to prevent severe complications.*
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Internal hernias account for a minority of cases of intestinal obstruction. Within this group, internal hernias through the foramen of Winslow (FW) are an even rarer subcategory with a paucity of cases reported in the literature. We present a case of a 48-year-old female presenting with right upper quadrant pain akin to biliary colic with sonographic evidence of cholelithiasis.

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