Caso de hernia interna abdominal a través del hiato de Winslow en urgencias de pediatría

  1. David Del Cerro Rodríguez 1
  2. Samuel González-Pola Yuncal 1
  3. Santiago Altamirano 1
  4. Silvia García Saavedra 1
  5. Manuel Gómez Tellado 1
  1. 1 Complexo Hospitalario Universitario da Coruña
    info

    Complexo Hospitalario Universitario da Coruña

    La Coruña, España

    ROR https://ror.org/044knj408

Journal:
Anales del sistema sanitario de Navarra

ISSN: 1137-6627

Year of publication: 2024

Volume: 47

Issue: 1

Pages: 111-115

Type: Article

DOI: 10.23938/ASSN.1068 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Anales del sistema sanitario de Navarra

Abstract

Abdominal internal hernia is a rare cause of intestinal obstruction in pediatric emergency departments, being the herniation through the foramen of Winslow an exceptional entity (less than 0.5% of the herniae).We report the case of a 15-year-old adolescent male without previous surgical interventions who presented with abdominal pain and vomiting; computed tomography scans showed intestinal obstruction due to an internal her-nia through the foramen of Winslow. To reduce the herni-ated ileum, the patient required surgical intervention with diagnostic laparoscopy, which, due to bad visualization, was changed to supraumbilical midline laparotomy. There was no need to resect the affected ileum as it appeared healthy. We did not perform a preventive technique to re-duce the risk of recurrence. Postoperative pelvic collection was conservatively managed with antibiotics. The patient undergoes regular follow-up in the pediatric surgery de-partment

Bibliographic References

  • MARTIN LC, MERKLE EM, THOMPSON WM. Review of internal hernias: radiographic and clinical findings. Am J Roentgenol 2006; 186(3): 703-717. https://doi.org/10.2214/AJR.05.0644
  • BANDARA PK, VIRAJ ROHANA AM, PATHIRANA A. Intestinal obstruction due to small bowel herniation through foramen of Winslow: A case report. J Med Case Rep 2021; 15(1). https://doi.org/10.1186/s13256-020-02629-w
  • MORIS D, TSILIMIGRAS DI, YEROKUN B, SEYMOUR KA, GUERRON AD, FONG PA et al. Foramen of Winslow hernia: A review of the literature highlighting the role of laparoscopy. J Gastrointest Surg 2019; 23(10): 2093-2099. http://doi.org/10.1007/s11605-019-04353-3
  • TAKEYAMA N, GOKAN T, OHGIYA Y, SATOH S, HASHIZUME T, HATAYA K et al. CT of internal hernias. Radiographics 2005; 25(4): 997-1015. http://doi.org/10.1148/rg.254045035
  • BUISSET C, POSTILLON A, AZIZ S, BILBAULT F, HOCH G, NESSELER J-P et al. Laparoscopic management of an ascending colon hernia through the foramen of Winslow. J Surg Case Rep 2020; 2020(9). http://doi.org/10.1093/jscr/rjaa283
  • DUINHOUWER LE, DEERENBERG E, ROCIU E, KORTEKAAS RTJ. Herniation of the colon through the foramen of Winslow—A case report. Int J Surg Case Rep 2016; 24: 14-17. http://doi.org/10.1016/j.ijscr.2016.04.044
  • WELARATNE I, NASOODI A. A rare cause of obstructive jaundice: Cecal herniation through the foramen of Winslow. J Clin Imaging Sci 2018; 8(24). http://doi.org/10.4103/jcis.jcis_12_18
  • ICHIKAWA Y, KANAZAWA A, DAN N, ISHIKAWA S, HAGI T, MIZOJIRI G et al. Case of ileal herniation through the foramen of Winslow diagnosed preoperatively by CT and treated with laparoscopic surgery. Asian J Endosc Surg 2017; 10(3): 328-330. http://doi.org/10.1111/ases.12372
  • DOWNS P, DOWNES N, ZAYSHLYY E, ESPER C, GIUSEPPUCCI P. Internal hernia through the foramen of Winslow. J Surg Case Rep 2018; 2018(12): 1-3. http://doi.org/10.1093/jscr/rjy329
  • DAHER R, MONTANA L, ABDULLAH J, D’ALESSANDRO A, CHOUILLARD E. Laparoscopic management of foramen of Winslow incarcerated hernia. Surg Case Rep 2016; 2(1). http://doi.org/10.1186/s40792-016-0139-4
  • FUJIHATA S, KITAGAMI H, YAMAMOTO M, NONOYAMA K, SUZUKI A, TANAKA M et al. A post operative complication of foramen of Winslow hernia with left to right herniation of the small intestine: An extremely rare case report. Int J Surg Case Rep 2018; 49: 219-222. http://doi.org/10.1016/j.ijscr.2018.06.035
  • SAMSON TD, TERCERO FM, SATO K, AWAD ZT, FILIPI CJ. Cecal herniation through the foramen of Winslow after laparoscopic Nissen fundoplication. Surg Endosc 2001; 15(12): 1490. http://doi.org/10.1007/s004640041027
  • HUANG Q, HUANG Y, QIN L, WU L. An adolescent with ileum herniation through foramen of Winslow: A case report and literature review. Niger J Clin Pract 2022; 25(8): 1372. http://doi.org/10.4103/njcp.njcp_1778_21
  • NGUYEN TH, TRAN KH, LE XA, VAN NGUYEN H, VAN HA Q. Gallbladder volvulus and hernia through the foramen of Winslow: a case report. J Surg Case Rep 2020; 2020(10). http://doi.org/10.1093/jscr/rjaa424
  • AYOOB F, MICHAEL R, CHADNICK Z, FASANYA C. Internal hernia of caecum through the foramen of Winslow. BMJ Case Rep 2019; 12(7): e228239. http://doi.org/10.1136/bcr-2018-228239
Data source: Dialnet