Kamaleddine I, Popova M, Angles T, Neese M, Brinkmann B, Volmer E, Weber MA, Lamprecht G, Schafmayer C, Alwali A. Retroperitoneal cecal volvulus: a complication of a rare internal hernia - a case report.
Ann Med Surg (Lond) 2024;
86:1647-1653. [PMID:
38463092 PMCID:
PMC10923356 DOI:
10.1097/ms9.0000000000001540]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Accepted: 11/17/2023] [Indexed: 03/12/2024] Open
Abstract
Introduction and importance
The foramen of Winslow hernia (FWH) is a rare type of internal hernia. In one-third of cases, the cecum was found in the lesser sac. More rarely, the herniated cecum might be volvulated, which represents 1-1.5% of the causes of intestinal obstruction. Once diagnosed, surgical reduction and/or resection of the nonviable herniated bowel is crucial for a positive outcome.
Case presentation
The authors report a case of retroperitoneal cecal volvulus that complicated FWH in a patient with a history of laparoscopic cholecystectomy.
Clinical discussion
A delay in the diagnosis is associated with high morbidity and even higher mortality. Because of lacking a consensus, the treatment of FWH depends on the team's surgical experience.
Conclusion
Reporting this case will help us to keep in mind this differential diagnosis while treating patients in our daily practice.
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