Deschner Benjamin W, Schwulst Steven J
Division of Trauma and Critical Care, Department of Surgery, Northwestern University, 676 N. St. Clair St., Ste #650, Chicago, IL 60611, USA.
J Surg Case Rep. 2018 Sep 10;2018(9):rjy236. doi: 10.1093/jscr/rjy236. eCollection 2018 Sep.
This is the case of a 70-year-old woman who presented to the emergency department complaining of 2 hours of acute-onset epigastric pain. She had experienced this pain once before which had spontaneously resolved. Axial imaging demonstrated the cecum in an abnormal position within the lesser sac, as well as compression of the inferior vena cava and portal vein. She was taken emergently to the operating room for laparotomy, where a free-floating cecum and ascending colon was identified without ischemia, and a right hemicolectomy was performed. Foramen of Winslow hernias are rare internal hernias with a high rate of strangulation and bowel ischemia, requiring urgent surgical intervention. Operative treatment depends on the type of herniated viscera. Spontaneous reduction is not well documented.
这是一位70岁女性的病例，她因突发上腹部疼痛2小时前往急诊科就诊。她曾有过一次类似疼痛，疼痛自行缓解。轴向成像显示盲肠位于小网膜囊内的异常位置，同时下腔静脉和门静脉受压。她被紧急送往手术室进行剖腹手术，术中发现游离的盲肠和升结肠无缺血情况，遂行右半结肠切除术。温斯洛孔疝是一种罕见的内疝，绞窄和肠缺血发生率高，需要紧急手术干预。手术治疗取决于疝入脏器的类型。关于自行复位的记录并不充分。
