Internal herniation of cecum through the foramen of Winslow and into the lesser sac: A case report

Abstract

An internal hernia is a protrusion of a visceral organ through a peritoneal or mesenteric opening within the abdominal or pelvic cavities. Internal hernias may present with a wide range of symptoms from mild digestive pain to acute abdomen. Internal hernias have a high morbidity and mortality rate often due to delayed diagnosis and progression of bowel obstruction to bowel ischemia or infarction. High clinical suspicion, cross-sectional imaging, and early surgical intervention are important to prevent life-threatening complications. Here, we report an internal hernia of the cecum through the foramen of Winslow and into the lesser sac with classic CT findings. The patient underwent a successful exploratory laparotomy and resection.

Keywords

• Internal hernia
• Foramen of Winslow
• Cecum