[Acute abdominal pain due to internal herniation: a rare phenomenon in a patient without relevant medical history].
Acute buik door inwendige herniatie.
Journal
Nederlands tijdschrift voor geneeskunde
ISSN: 1876-8784
Titre abrégé: Ned Tijdschr Geneeskd
Pays: Netherlands
ID NLM: 0400770
Informations de publication
Date de publication:
15 05 2023
15 05 2023
Historique:
medline:
29
5
2023
pubmed:
26
5
2023
entrez:
26
5
2023
Statut:
epublish
Résumé
The foramen of Winslow is the opening between the peritoneum and the omental bursa just caudal to the liver and dorsal to the lesser omentum. Internal herniation of the intestine through the foramen of Winslow can cause acute abdominal pain. A 45-year old man without relevant medical history presented with acute abdominal pain. CT scan showed an internal herniation of the intestine through the foramen of Winslow, with signs of ischemia of the herniated intestine. Emergency laparoscopy was performed. The herniated intestine was decompressed with a needle before it could be repositioned, no resection was necessary. Postoperative course was characterized by a paralytic ileus, eventually the patient was discharged on postoperative day 8. Internal herniation of the intestine through the foramen of Winslow is a rare cause of acute abdominal pain, which requires surgery to reposition the intestine.
Sections du résumé
BACKGROUND
The foramen of Winslow is the opening between the peritoneum and the omental bursa just caudal to the liver and dorsal to the lesser omentum. Internal herniation of the intestine through the foramen of Winslow can cause acute abdominal pain.
CASE DESCRIPTION
A 45-year old man without relevant medical history presented with acute abdominal pain. CT scan showed an internal herniation of the intestine through the foramen of Winslow, with signs of ischemia of the herniated intestine. Emergency laparoscopy was performed. The herniated intestine was decompressed with a needle before it could be repositioned, no resection was necessary. Postoperative course was characterized by a paralytic ileus, eventually the patient was discharged on postoperative day 8.
CONCLUSION
Internal herniation of the intestine through the foramen of Winslow is a rare cause of acute abdominal pain, which requires surgery to reposition the intestine.
Types de publication
Case Reports
English Abstract
Journal Article
Langues
dut
Sous-ensembles de citation
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