Yang Caroline M, Sabat Nestor, Jayewardene Ishanth Devinda
General Surgery, Port Macquarie Base Hospital, Wrights Rd, Port Macquarie 2444, Australia.
J Surg Case Rep. 2025 May 31;2025(6):rjaf357. doi: 10.1093/jscr/rjaf357. eCollection 2025 Jun.
Foramen of Winslow hernias are a rare pathology that often have a delayed diagnosis and can lead to bowel obstruction and ischemia. We present a case of pre-operatively diagnosed foramen of Winslow hernia in a female in her 70s that presented with right upper quadrant pain. This involved herniation of the colon, causing transient portal venous compression. In this case it was managed operatively with a laparoscopic converted to open reduction of the herniated colon, with resolution of venocongestion post operatively.
温斯洛孔疝是一种罕见的病理情况,常常诊断延迟,可导致肠梗阻和缺血。我们报告一例70多岁女性患者,术前诊断为温斯洛孔疝,表现为右上腹疼痛。这涉及结肠疝出,导致门静脉短暂受压。该病例通过手术治疗,先采用腹腔镜手术,后转为开放手术还纳疝出的结肠,术后静脉充血得到缓解。