Shusaku Honma1, Takenori Itohara2, Seigo Sha2, Hirohiko Onoyama2. 1. Department of Surgery, Kobe City Medical Center West Hospital, 2-4, Ichibancho, Nagataku, Kobe, Hyogo, 653-0013, Japan. shomma74@kuhp.kyoto-u.ac.jp. 2. Department of General Medicine, Nozaki Tokushukai Hospital, 2-10-5, Tanigawa, Daito, Osaka, 574-0074, Japan.
Abstract
BACKGROUND: Foramen of Winslow hernia (FWH) is a rare but emergent condition caused by an increase in the foramen diameter, visceral mobility, and intra-abdominal pressure. To the best of our knowledge, this is the first study to report a case of FWH secondary to large uterine fibroids that was successfully treated with laparoscopic surgery. CASE PRESENTATION: A 52-year-old woman with large uterine fibroids was diagnosed with FWH. Because of the absence of signs of bowel ischemia and peritonitis, we performed an elective laparoscopic surgery through a 5-port system after bowel decompression using a long intestinal tube. Although foramen of Winslow closure was not performed, her postoperative course was uneventful. CONCLUSIONS: Laparoscopic surgery for FWH is considered an extremely effective surgical treatment option because of its safety and efficacy in performing delicate procedures (such as adhesiolysis) with a good magnified field of view.
BACKGROUND: Foramen of Winslow hernia (FWH) is a rare but emergent condition caused by an increase in the foramen diameter, visceral mobility, and intra-abdominal pressure. To the best of our knowledge, this is the first study to report a case of FWH secondary to large uterine fibroids that was successfully treated with laparoscopic surgery. CASE PRESENTATION: A 52-year-old woman with large uterine fibroids was diagnosed with FWH. Because of the absence of signs of bowel ischemia and peritonitis, we performed an elective laparoscopic surgery through a 5-port system after bowel decompression using a long intestinal tube. Although foramen of Winslow closure was not performed, her postoperative course was uneventful. CONCLUSIONS: Laparoscopic surgery for FWH is considered an extremely effective surgical treatment option because of its safety and efficacy in performing delicate procedures (such as adhesiolysis) with a good magnified field of view.
Entities:
Keywords:
Foramen of Winslow hernia; Internal hernia; Laparoscopy; Uterine fibroid
Authors: Isaac Manyonda; Anna-Maria Belli; Mary-Ann Lumsden; Jonathan Moss; William McKinnon; Lee J Middleton; Versha Cheed; Olivia Wu; Fusun Sirkeci; Jane P Daniels; Klim McPherson Journal: N Engl J Med Date: 2020-07-30 Impact factor: 91.245