Ileocecal herniation through the foramen of Winslow: MDCT diagnosis.
We report a rare case of small bowel obstruction of a 45-year-old female which was caused by internal hernia of the terminal ileum and cecum through the foramen of Winslow. The patient presented to the emergency department with acute abdominal pain, distention, and nausea, suggesting an intestinal obstruction. The complete unambiguous preoperative diagnosis was achieved by a 64-row multi-detector computed tomography. This report enlightens the utility and performances of high-quality computed tomography multiplanar reconstructions combined with vascular volume rendering analysis for the diagnosis of internal hernia.
Department of Diagnostic Radiology, Clinique St. Luc, Rue St. Luc, 8, 5004, Bouge, Namur, Belgium. rezazadeh_afshin@yahoo.fr
Afshin Rezazadeh
AR
Azar
Cécile
C
Abraham
Bruno
B
Coulier
Bernard
B
Broze
D002432:Cecum / Q000000981:diagnostic imaging; D003082:Colectomy; D003287:Contrast Media; D003937:Diagnosis, Differential; D005260:Female; D046449:Hernia, Abdominal / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007082:Ileum / Q000000981:diagnostic imaging; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small; D008875:Middle Aged; D011857:Radiographic Image Interpretation, Computer-Assisted; D014057:Tomography, X-Ray Computed
D003287:Contrast Media