title: Laparoscopic management of foramen of Winslow incarcerated hernia.
abstract: Foramen of Winslow hernia (FWH) is a rare and often overlooked diagnosis with a high mortality rate. Widespread availability of cross-sectional imaging allows early diagnosis and prompt management. In this setting, before ischemia occurs, explorative laparoscopy would be the most suitable approach. Experience, however, remains sparse, and technical difficulties may be encountered. This is the case of a 38-year-old Caucasian woman who presented to the emergency department for a sudden epigastric pain. Physical exam was unremarkable, and routine blood tests were within normal range. An abdominal computed tomography (CT) scan confirmed the diagnosis of ileocaecal herniation through the foramen of Winslow. Under urgent laparoscopy, the caecum appeared viable but incarcerated in the lesser sac. Caecal puncture was the key to achieving atraumatic reduction of the hernia and bowel salvage.
authors.affiliation: Department of General and Minimally Invasive Surgery, Centre Hospitalier Intercommunal Poissy/Saint-Germain-En-Laye, 10, rue du Champ Gaillard, 78300, Poissy, France.
authors.forename: Ronald
authors.initials: R
authors.lastname: Daher
authors.affiliation: Department of General and Minimally Invasive Surgery, Centre Hospitalier Intercommunal Poissy/Saint-Germain-En-Laye, 10, rue du Champ Gaillard, 78300, Poissy, France.
authors.forename: Laura
authors.initials: L
authors.lastname: Montana
authors.affiliation: Department of General and Minimally Invasive Surgery, Centre Hospitalier Intercommunal Poissy/Saint-Germain-En-Laye, 10, rue du Champ Gaillard, 78300, Poissy, France.
authors.forename: Jarrah
authors.initials: J
authors.lastname: Abdullah
authors.affiliation: Department of General and Minimally Invasive Surgery, Centre Hospitalier Intercommunal Poissy/Saint-Germain-En-Laye, 10, rue du Champ Gaillard, 78300, Poissy, France. anto.dalex84@gmail.com.
authors.forename: Antonio
authors.initials: A
authors.lastname: d'Alessandro
authors.affiliation: Department of General and Minimally Invasive Surgery, Centre Hospitalier Intercommunal Poissy/Saint-Germain-En-Laye, 10, rue du Champ Gaillard, 78300, Poissy, France.
authors.forename: Elie
authors.initials: E
authors.lastname: Chouillard
keywords: Caecopexy; Incarcerated hernia; Laparoscopy; Puncture; Winslow