FORAMEN OF WINSLOW HERNIA

A 29-year-old man with gastro-oesophageal refl ux disease history presented to our emergency department with sudden onset of epigastric pain, diarrhoea, nausea, and vomiting persisting over one day. He denied any trauma or prior surgical history. Physical examination revealed stable vital signs, mild tenderness over the epigastric region and mild muscle guarding. Murphy’s sign was negative, and there was no tenderness at McBurney’s point. Laboratory study showed leukocytosis. Abdominal computed tomography (CT) revealed distended bowel loops entrapped inside the lesser sac between the stomach and the pancreas and stretching of the mesenteric vessels with a tapering of herniation through the foramen of Winslow (Figure 1).