title: An exceptional cause of intestinal obstruction in a 2-year-old boy: strangulated hernia of the ileum through Winslow's foramen.
abstract: The case of a 2-year-old boy suffering from a strangulated ileal herniation through Winslow's foramen into the lesser sac is reported. He presented an abdominal pain of sudden onset 16 hours previously. The clinical examination, abdominal x-ray, and sonography were not helpful in the assessment of the diagnosis of internal hernia, which was evoked by the computed tomography. At laparotomy, approximately 30 cm of the strangulated ileum was reduced through Winslow's foramen. Fifteen centimeters of the ileum was gangrenous and thus resected with an end-to-end anastomosis. Despite its congenital character, strangulated hernia of the ileum through Winslow's foramen is diagnosed more frequently in adulthood and exceptionally in childhood. Early diagnosis and treatment are crucial because of the high morbidity and mortality associated with strangulation.
authors.affiliation: Department of Pediatric Surgery, Centre Hospitalier, 72037 Le Mans, France. amboyo@ch-lemans.fr
authors.forename: Antoine
authors.initials: A
authors.lastname: Mboyo
authors.forename: Ernest
authors.initials: E
authors.lastname: Goura
authors.forename: Richard
authors.initials: R
authors.lastname: Massicot
authors.forename: Vincent
authors.initials: V
authors.lastname: Flurin
authors.forename: Benedicte
authors.initials: B
authors.lastname: Legrand
authors.forename: Muriel
authors.initials: M
authors.lastname: Repetto-Germaine
authors.forename: Sigrid
authors.initials: S
authors.lastname: Caron-Bataille
authors.forename: Jean
authors.initials: J
authors.lastname: Ndié
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis / Q000209:etiology; D000714:Anastomosis, Surgical / Q000379:methods; D002675:Child, Preschool; D005500:Follow-Up Studies; D006547:Hernia / Q000150:complications* / Q000000981:diagnostic imaging; D059685:Herniorrhaphy; D006801:Humans; D007077:Ileal Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007813:Laparotomy / Q000379:methods; D008297:Male; D009852:Omentum; D011860:Radiography, Abdominal; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome