caa a22 4500 475752147 CHVBK 20180406123527.0 cr unu---uuuuu 170329e20000601xx s 000 0 eng 10.1007/s005950070125 doi (NATIONALLICENCE)springer-10.1007/s005950070125 Herniation through both Winslow's foramen and a lesser omental defect: Report of a case [Elektronische Daten] [Yoshihisa Saida, Jiro Nagao, Makoto Takase, Yasumitsu Noto, Shinya Kusachi, Yoshihiro Kajiwara, Yoshinobu Sumiyama] The herniation of small bowel through Winslow's foramen is a rare type of internal hernia which can cause ileus; however, a hernia traversing the lesser sac is even more unusual. To the best of our knowledge, only 25 cases of herniation through Winslow's foramen and 10 cases of lesser sac hernia have been reported in the Japanese literature. We describe herein the case of a 33-year-old man who presented to our hospital complaining of abdominal pain in whom a plain abdominal radiograph revealed small bowel gas with airfluid levels, suggesting ileus. Following admission, an ileus tube was inserted, but the intestinal shadow did not improve and surgery was performed based on suspicion of an internal hernia. Approximately 100 cm of ileum was found to have herniated through a defect in the lesser omentum after passing through Winslow's foramen. Since the herniated bowel was viable, manual reduction without resection was performed. The patient had a satisfactory postoperative course, and was discharged on postoperative day 11. There are many unknown aspects surrounding the etiology of Winslow's foramen hernia and lesser sac hernia, and although internal hernia is a rare cause of ileus, its possibility should be kept in mind. Springer-Verlag, 2000 internal hernia nationallicence hernia through Winslow's foramen nationallicence lesser omental hernia nationallicence Saida Yoshihisa Third Department of Surgery, Toho University, School of Medicine, 2-17-6 Ohashi, Meguro-ku, 153-8515, Tokyo, Japan aut Nagao Jiro Third Department of Surgery, Toho University, School of Medicine, 2-17-6 Ohashi, Meguro-ku, 153-8515, Tokyo, Japan aut Takase Makoto Third Department of Surgery, Toho University, School of Medicine, 2-17-6 Ohashi, Meguro-ku, 153-8515, Tokyo, Japan aut Noto Yasumitsu Third Department of Surgery, Toho University, School of Medicine, 2-17-6 Ohashi, Meguro-ku, 153-8515, Tokyo, Japan aut Kusachi Shinya Third Department of Surgery, Toho University, School of Medicine, 2-17-6 Ohashi, Meguro-ku, 153-8515, Tokyo, Japan aut Kajiwara Yoshihiro Third Department of Surgery, Toho University, School of Medicine, 2-17-6 Ohashi, Meguro-ku, 153-8515, Tokyo, Japan aut Sumiyama Yoshinobu Third Department of Surgery, Toho University, School of Medicine, 2-17-6 Ohashi, Meguro-ku, 153-8515, Tokyo, Japan aut Surgery Today Springer-Verlag 30/6(2000-06-01), 544-547 0941-1291 30:6<544 2000 30 595 https://doi.org/10.1007/s005950070125 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950070125 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Saida Yoshihisa Third Department of Surgery, Toho University, School of Medicine, 2-17-6 Ohashi, Meguro-ku, 153-8515, Tokyo, Japan aut NATIONALLICENCE 700 1- Nagao Jiro Third Department of Surgery, Toho University, School of Medicine, 2-17-6 Ohashi, Meguro-ku, 153-8515, Tokyo, Japan aut NATIONALLICENCE 700 1- Takase Makoto Third Department of Surgery, Toho University, School of Medicine, 2-17-6 Ohashi, Meguro-ku, 153-8515, Tokyo, Japan aut NATIONALLICENCE 700 1- Noto Yasumitsu Third Department of Surgery, Toho University, School of Medicine, 2-17-6 Ohashi, Meguro-ku, 153-8515, Tokyo, Japan aut NATIONALLICENCE 700 1- Kusachi Shinya Third Department of Surgery, Toho University, School of Medicine, 2-17-6 Ohashi, Meguro-ku, 153-8515, Tokyo, Japan aut NATIONALLICENCE 700 1- Kajiwara Yoshihiro Third Department of Surgery, Toho University, School of Medicine, 2-17-6 Ohashi, Meguro-ku, 153-8515, Tokyo, Japan aut NATIONALLICENCE 700 1- Sumiyama Yoshinobu Third Department of Surgery, Toho University, School of Medicine, 2-17-6 Ohashi, Meguro-ku, 153-8515, Tokyo, Japan aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/6(2000-06-01), 544-547 0941-1291 30:6<544 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer