Internal herniation of the caecum into the lesser sac: an unusual cause of an acute abdomen (2009: 10b).
Internal hernias are rare, occurring in 0.2-0.9% of autopsy cases. Hernias through the foramen of Winslow are even rarer, occurring in up to 8% of internal hernias. The clinical presentation is variable, making diagnosis difficult, and a delay in diagnosis can result in significant morbidity. As such, early radiological diagnosis is paramount. We report a rare case of caecal herniation through the foramen of Winslow in a 49-year-old female patient in whom the diagnosis was made radiologically and allowed appropriate and prompt management.
Rajeswaran
Gajan
G
Radiology, Chelsea & Westminster Hospital, 369 Fulham Road London, London SW10 9NH, UK. grajeswaran@hotmail.com
Selvakumar
Sadasivam
S
King
Chris
C
D000006:Abdomen, Acute / Q000000981:diagnostic imaging* / Q000209:etiology*; D002432:Cecum / Q000000981:diagnostic imaging*; D005260:Female; D006547:Hernia / Q000150:complications* / Q000000981:diagnostic imaging*; D006801:Humans; D007410:Intestinal Diseases / Q000150:complications* / Q000000981:diagnostic imaging*; D008875:Middle Aged; D011859:Radiography