Perabo Arden, Alfaro Andrew, Baty Sheldon, Sherali Susan, Soliman Basem
School of Medicine, Texas Tech University Health Sciences Center, Amarillo, USA.
Surgery, Texas Tech University Health Sciences Center, Amarillo, USA.
Cureus. 2022 Dec 26;14(12):e32960. doi: 10.7759/cureus.32960. eCollection 2022 Dec.
Internal hernias through the Foramen of Winslow account for 0.1% of abdominal hernias and 8% of internal hernias, with a mortality rate of 36%-49%. Cecal volvulus accounts for only 1%-1.5% of all intestinal obstructions with a mortality rate of up to 48%. We present a case of a 56-year-old female evaluated for lower abdominal pain and nausea who received a right hemicolectomy after reduction of a cecal volvulus with internal herniation through the Foramen of Winslow. The ambiguous presentation can complicate initial management, but early detection is essential for quick operative repair and prevention of onset or progression of bowel ischemia and necrosis.
通过网膜孔的内疝占腹外疝的0.1%，占内疝的8%，死亡率为36%-49%。盲肠扭转仅占所有肠梗阻的1%-1.5%，死亡率高达48%。我们报告一例56岁女性，因下腹痛和恶心接受评估，在通过网膜孔的内疝复位盲肠扭转后接受了右半结肠切除术。这种不明确的表现会使初始治疗复杂化，但早期检测对于快速手术修复以及预防肠缺血和坏死的发生或进展至关重要。
