Both cecal volvolus and Winslow hernia are rare clinical presentations accounting for 1-1.5 and 0.08% of bowel obstructions. The combination of the two phenomena has been described so far in 13 case reports. Our patient underwent laparotomy with lesser Sac opening, manual hernia reduction, right hemicolectomy and partial Foramen closure with two simple stitches of PDS 4.0. Due to the scarcity of literature guidelines are not available, the intraoperative state of the tissues and the likelihood of a hernia recurrence play a decisive role in surgical management.
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http://dx.doi.org/10.1093/jscr/rjae325 | DOI Listing |
J Surg Case Rep
May 2024
Department of Surgery, Kantonsspital Winterthur, Brauerstrasse 15, Postfach, Winterthur 8401, Switzerland.
Both cecal volvolus and Winslow hernia are rare clinical presentations accounting for 1-1.5 and 0.08% of bowel obstructions.
View Article and Find Full Text PDFInt J Surg Case Rep
April 2024
Department of Pediatric Surgery, Maternity and Children Hospital, Makkah, Saudi Arabia.
Introduction And Importance: Cecal volvulus is a rare intestinal pathology that occurs due to abnormal cecum mobility associated with spectrum of complications. It is usually manifested in adults. However, on extremely rare occasions, it occurs in pediatrics.
View Article and Find Full Text PDFAnn Ital Chir
March 2011
Chirurgia generale III, Ospedale S. Gerardo, Monza.
Intestinal malrotation is a rare cause of bowel obstruction in adults and it could create a perplexing situation for surgeons not familiar with this pediatric pathology. Symptomatic patients present either acutely with bowel obstruction and intestinal ischemia with a midgut or cecal volvolus, or chronically with vague abdominal pain. Several modalities can be used to describe the intestinal abnormality such as barium X-ray, computer tomography scans, angiography and sometimes also the explorative laparotomy.
View Article and Find Full Text PDFMinerva Chir
October 1996
Cattedra di Chirurgia Generale, Università degli Studi di Udine.
A rare case of hemoperitoneum in a young man who performed a diagnostic colonoscopy is reported. The rupture of an epiploic appendix among rectum and colon sigma caused massive bleeding into the peritoneum cavity followed by haemorrhagic shock. Diagnostic and therapeutic colonoscopy has a low rate of morbility; perforation and bleeding are the most common events; hemoperitoneum following colonscopy is usually due to spleen rupture.
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