Cecal herniation through the foramen of winslow: Case presentation and literature review
0
Citation
13
Reference
10
Related Paper
Abstract:
Foramen of Winslow hernias are a rare type of internal hernia that account for less than 1% of all cases of intestinal obstruction. It is extremely rare surgical condition with estimated mortality of about 50%. Timely diagnosis aided by computed tomography (CT scan) can facilitate proper planning and surgical treatment. Optimal treatment depends on patient’s condition, status of the incarcerated structure as well as surgeon’s comfort and preference.Keywords:
Foramen
Presentation (obstetrics)
Case presentation
Internal hernias itself is not so rare, but considering individual cases, there are many unusual ones, preoperative diagnosis is difficult and treatment may be delayed. It is important to prevent the necrosis of the small intestine and to have a good postoperative course by performing diagnosis and surgery as soon as possible. I cited the anatomical structure, features on the image, and the treatment throughout the internal hernia, so I hope it will be useful for treatment of internal hernia. The case of foramen of Winslow hernia presented is very unusual, as the small intestine in the hernia passed through the foramen from left to right. The foramen of Winslow hernia is deemed unnecessary to close the hernia orifice, but in comparison with other internal hernias, or considering previous reports on the foramen of Winslow hernia, closure of the hernia orifice is necessary.
Foramen
Internal hernia
Cite
Citations (0)
Internal hernia
Cite
Citations (16)
Hernia through the foramen of Winslow is one of the less common types of internal hernia. Hansmann and Morton1found an incidence of 8% in 467 cases of internal hernia collected from the literature.2Blandin first described hernia through the foramen of Winslow in 1834. Lavarde and Chevret,3in 1949, reported less than 70 cases in the world literature. The symptoms are usually upper abdominal pain followed by nausea and vomiting. Onset may follow the ingestion of a large meal. A history of previous episodes of upper abdominal pain has been obtained in some patients. Physical findings will vary with the degree of obstruction and the presence or absence of strangulated intestine. An epigastric mass and epigastric fullness have been described. Roentgenographic evidence of hernia through the foramen of Winslow has been well described. A few instances have been recorded in which a roentgenographic diagnosis was made
Foramen
Epigastric pain
Internal hernia
Cite
Citations (1)
We describe a very unusual presentation of the so called boxer fracture. We present a young patient who had a marked volar displacement, proximal migration and flipping of his subcapital metacarpal fracture of the little finger that was managed surgically. This case report illustrates this rather rare presentation.
Presentation (obstetrics)
Case presentation
Cite
Citations (0)
Kawasaki disease (KD) is an acute, febrile systemic inflammatory disorder of childhood.A limited group of KD patients does not fulfill the classic criteria of KD.This group are generally infants or older children.In some cases, delay in diagnosis atypical KD can lead to coronary artery complication.We report the case of a 7-year-old previously healthy girl presented by isolated cervical adenitis with no fever, conjunctivitis or edema who underwent treatment by suspicious to infection disease.After 10 days some other criteria was expressed and by suspicious to atypical KD, giant coronary aneurysms was diagnosed and coronary artery bypass graft surgery (CABG), aneurysmectomy and aneurysmorrhaphy was done.She had no problem in 2 years follow-up.A highly suspicious should be considered in children presenting with fever and unusual manifestations like lymphadenopathy, especially where empiric antibiotics were ineffective.
Presentation (obstetrics)
Case presentation
Cite
Citations (0)
Oral case presentation is an essential skill in clinical practice that is decidedly varied and understudied in teaching curricula.We developed a curriculum to improve oral case presentation skills in medical students.As part of an internal medicine clerkship, students receive instruction in the elements of a good oral case presentation and then present a real-world case in front of a video camera. Each student self-evaluates his/her presentation and receives evaluations from his/her peers. We expect peer and self-evaluation to be meaningful tools for developing skills in oral presentation.We hope to not only improve the quality of oral case presentations by students but also to reduce the time burden on faculty.
Presentation (obstetrics)
Case presentation
Oral medicine
Cite
Citations (16)
Abstract Clinical case presentation is part of daily routine for doctors to communicate with each other to facilitate learning, and ultimately patient management. Hence, the art of good clinical case presentation is a skill that needs to be mastered. Case presentations are a part of most undergraduate and postgraduate training programs aimed at nurturing oratory and presentation design skills. This article is an attempt at providing a trainee in radiology a guideline to good case presentation skills.
Presentation (obstetrics)
Case presentation
Guideline
Cite
Citations (0)
Presentation (obstetrics)
Case presentation
Cite
Citations (0)
Usual presentation of the Cases is common. This paper deals with presentation of peculiar cases which are not described in the books. Here a lady died with burns but presence of gagging and tying a cloth around the mouth is suggestive of homicidal burns. But circumstances are suggesting suicide. In another case mother and daughter died by hanging. But the house is locked from outside which suggests homicidal in nature. But as per the circumstances they are suicidal hangings.
Presentation (obstetrics)
Tying
Case presentation
Daughter
Cite
Citations (0)
Morgagni hernia is an uncommon presentation representing about 3% in incidene and usually located in the right-sided anterior diaphragm. We experienced a case of Morgagni hernia in a seventy four-year-old male who was admitted complaining of intermittent abdominal pain. The diagnosis was made initially by chest and abdominal radiography, and an incarcerated Morgagni hernia was finally diagnosed with abdominal CT scans. Emergent laparotomy was performed. Morgagni foramen was located on the left-sided anterior diaphragm and Morgagni hernia which contained greater omentum and strangulated small intestine was gently reducted. Morgagni foramen measuring 4×5 cm was repaired with a Gortex mesh. We reported the experience of left-sided Morgagni hernia complicating incarcerated small bowel hernia in an old male patient. (Korean J Gastroenterol 2008;51:52-55)
Foramen
Diaphragm (acoustics)
Presentation (obstetrics)
Cite
Citations (0)