title: Rapid pre-operative diagnosis of ileal hernia through the foramen of Winslow with multi-detector computed tomography, enabling successful laparoscopic reduction.
abstract: Internal hernias through the foramen of Winslow are extremely rare. Prompt diagnosis and early surgical reduction are vital to prevent bowel gangrene and avoid resection. We report a case of ileal hernia through the foramen of Winslow in a 48-year-old woman. She presented to the emergency department with acute epigastric pain, and rapid and definitive pre-operative diagnosis of internal hernia of ileum through the foramen of Winslow without ischaemia was made by means of multi-detector computed tomography. Emergency laparoscopic bowel reduction was performed. The postoperative course was uneventful, and the patient recovered rapidly.
authors.affiliation: Department of Radiology, China Medical University, Taichung, Taiwan.
authors.forename: W-C
authors.initials: WC
authors.lastname: Lin
authors.forename: C-H
authors.initials: CH
authors.lastname: Lin
authors.forename: Y-P
authors.initials: YP
authors.lastname: Lo
authors.forename: Y-H
authors.initials: YH
authors.lastname: Liao
mesh_terms: D005260:Female; D006547:Hernia / Q000000981:diagnostic imaging*; D059685:Herniorrhaphy; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D010535:Laparoscopy; D008875:Middle Aged; D061330:Multidetector Computed Tomography