South African Journal of Surgery
On-line version ISSN 2078-5151
Print version ISSN 0038-2361
LIN, W-C; LIN, C-H; LO, Y-P and LIAO, Y-H. Rapid pre-operative diagnosis of ileal hernia through the foramen of Winslow with multi-detector computed tomography, enabling successful laparoscopic reduction. S. Afr. j. surg. [online]. 2013, vol.51, n.1, pp.35-37. ISSN 2078-5151.
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.