Krishnan Anirudh, Mackay Thomas G, Iyengar Krishnan, Joel Abraham
General Surgery, Princess Alexandra Hospital, Brisbane, AUS.
Anatomical Pathology, Royal Brisbane and Women's Hospital, Brisbane, AUS.
Cureus. 2025 Aug 20;17(8):e90562. doi: 10.7759/cureus.90562. eCollection 2025 Aug.
A foramen of Winslow hernia is a rare variant of an internal hernia. It is a difficult condition to diagnose with a non-specific history and examination and requires the consideration of both clinical and radiologic features. In this study, we report the case of a 67-year-old Vietnamese woman who presented with abdominal pain and vomiting; a computed tomography (CT) scan depicted small bowel obstruction (SBO) with a transition point within the foramen of Winslow. The patient was taken for an emergent laparoscopic reduction of a hernia, without requiring bowel resection or conversion to open surgery. She recovered well post-operatively with the gradual introduction of diet and the cessation of nasogastric tube (NGT) decompression. In keeping with the existing literature on this rare condition, we conclude that early diagnosis and prompt surgical intervention are necessary to limit morbidity and that further research is required regarding techniques to prevent recurrence.
温氏孔疝是一种罕见的内疝变异类型。其诊断困难，病史和检查均无特异性，需要综合考虑临床和影像学特征。在本研究中，我们报告了一例67岁的越南女性病例，该患者出现腹痛和呕吐症状；计算机断层扫描（CT）显示小肠梗阻（SBO），梗阻转折点位于温氏孔内。患者接受了急诊腹腔镜疝修补术，无需进行肠切除或转为开放手术。术后，随着饮食逐渐恢复和鼻胃管（NGT）减压的停止，她恢复良好。与关于这种罕见疾病的现有文献一致，我们得出结论，早期诊断和及时的手术干预对于降低发病率是必要的，并且需要进一步研究预防复发的技术。
