20Nov 2018

A RARE TYPE OF INTERNAL HERNIA: A CASE REPORT AND LITERATURE REVIEW.

  • Department of Visceral Surgery II, Mohammed V Military Teaching Hospital, Ryad, Rabat, Morocco.
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Foramen of Winslow hernia is a rare occurrence, accounting for only 8% of all internal hernias and 0.08% of all hernias. It presents a diagnostic challenge with subtle clinical and radio - logical features. The rate of preoperative diagnosis has been reported to be <10% of the intraoperatively confirmed cases. A delay in diagnosis and treatment is often observed and may be responsible for the high mortality rate of up to 49% . Here we describe a case of a 67-year-old man who presented with acute epigastric pain. A CT scan was suggested the diagnosis of an internal hernia. At laparotomy, the herniated small bowel was viable and reduction was achieved with gentle traction. Successful management of foramen of Winslow hernia requires prompt diagnosis and surgical treatment.

  1. -J. Jang, S. H. Cho, and D.-D. Kim, ?A case of small bowel obstruction due to a paracecal hernia,??Journal of the Korean Society of Coloproctology, vol. 27, no. 1, pp. 41?43, 2011.View at Publisher???View at Google Scholar???View at Scopus
  2. Rae, A. Kalyanaraman, A. Ward, and A. Harikrishnan, ?An interesting case of retrocaecal internal herniation causing small bowel obstruction,??Annals of Medicine and Surgery, 2015.View at PublisherView at Google Scholar
  3. Takeda, Y. Ohnuki, T. Uchiyama, O. Kubota, and K. Ohishi, ?Small intestinal strangulation due to a rare type of primary internal hernia,??International Surgery, vol. 98, no. 4, pp. 409?411, 2013.View at Publisher???View at Google Scholar???View at Scopus
  4. Gonz?lez R, Pardo P, Valeira E, Perez C, Santos R, Loves L, et al. Correct preoperative diagnosis of herniation through the foramen of Winslow: two case reports.?Hernia.?2013;17:409?17.?[PubMed]
  5. Osvald AB, Mossman DF, Bersch VP, Rohde L. Intestinal obstruction caused by a foramen of Winslow hernia.?Am J Surg.?2008;196:242?4.?[PubMed]
  6. Takeyama N, Gokan T, Ohgiya Y. Ct of internal hernias.?Radiographics.?2005;25:997?1015.?[PubMed]
  7. Armstrong O, Hamel A, Grignon A, Peltier J, Hamal O, Letessier E, et al. Internal hernias: anatomical basis and clinical relevance.?SurgRadiol Anat.?2007;29:333?7.?[PubMed]
  8. Blachar A., Federle M.P., Dodson S.F. Internal hernia: clinical and imaging findings in 17 patients with emphasis on CT criteria.?Radiology.?2001;218:68?74.?[PubMed]
  9. Blachar A., Federle M., Brancatelli G., Peterson M.S., Oliver J.H., 3rd, Li W. Radiologist performance in the diagnosis of internal hernia by using specific CT findings with emphasis on mesenteric hernia.?Radiology.?2001;221:422?428.?[PubMed]
  10. C. Martin, E. M. Merkle, and W. M. Thompson, ?Review of internal hernias: radiographic and clinical findings,??American Journal of Roentgenology, vol. 186, no. 3, pp. 703?717, 2006.View at Publisher???View at Google Scholar???View at Scopus
  11. Takeyama, T. Gokan, Y. Ohgiya et al., ?CT of internal hernias,??Radiographics, vol. 25, no. 4, pp. 997?1015, 2005.View at Publisher???View at Google Scholar???View at Scopus
  12. Lassandro, F. Iasiello, N. L. Pizza et al., ?Abdominal hernias: radiological features,??World Journal of Gastrointestinal Endoscopy, vol. 3, no. 6, pp. 110?117, 2011.View at Google Scholar
  13. Gomes and J. Rodrigues, ?Spontaneous adult transmesentric hernia with bowel gangrene,??Hernia, vol. 15, no. 3, pp. 343?345, 2011.View at Publisher???View at Google Scholar???View at Scopus
  14. Farthouat P, Platel JP, et al. Hernie du hiatus de Winslow: diagnostic tomodensitom?triquepr?op?ratoireettraitement par coelioscopie.?Ann Chir.?1998;52:387?9.?[PubMed]
  15. Kotobi H, Echaieb A, Gallot D.?Traitement Chirurgical des HerniesRares. Techniques Chirurgicales-Appareil Digestive EMC.?Paris: Elsevier SAS; 2005. pp. 40?5.

[Faisal El mouhafid, NoureddineNjoumi, Mohamed Najih, Aziz Fadili, HichamIraki, MountassirMoujahid, AbdelkaderIhirchiou, AbdelmounimAitaliand Aziz Zentar. (2018); A RARE TYPE OF INTERNAL HERNIA: A CASE REPORT AND LITERATURE REVIEW. Int. J. of Adv. Res. 6 (Nov). 872-875] (ISSN 2320-5407). www.journalijar.com

Faisal El mouhafid
Department of Visceral Surgery II, Mohammed V Military Teaching Hospital, Rabat, Morocco

DOI:

Article DOI: 10.21474/IJAR01/8073      
DOI URL: https://dx.doi.org/10.21474/IJAR01/8073

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