Shek K, Ditkofsky N, Ashamalla S, Patel C
University of Manitoba College of Medicine , Winnipeg, Manitoba , Canada.
Department of Medical Imaging, Sunnybrook Health Sciences Centre, University of Toronto , Toronto, Ontario , Canada.
Ann R Coll Surg Engl. 2018 Jul;100(6):e142-e144. doi: 10.1308/rcsann.2018.0071. Epub 2018 Apr 16.
Caecal herniation through the foramen of Winslow is a rare entity of which radiologist should be aware. We present a case of this entity in a patient presenting with diabetic ketoacidosis and ongoing epigastric pain. Abdominal computed tomography demonstrated herniation of the caecum into the lesser sac via the foramen of Winslow. Despite the caecum appearing viable at the time of surgery, the surgeons performed a right hemicolectomy via laparotomy to prevent future recurrence.
盲肠经网膜孔疝入是一种罕见的情况,放射科医生应有所了解。我们报告一例患有糖尿病酮症酸中毒且上腹部持续疼痛的患者出现这种情况。腹部计算机断层扫描显示盲肠经网膜孔疝入小网膜囊。尽管手术时盲肠看起来存活,但外科医生还是通过剖腹术进行了右半结肠切除术,以防止未来复发。