Cecal internal hernia through Winslow's hiatus: : Laparoscopic resolution

Background: Hernia through Winslow's hiatus, known as Blandin’s hernia, a rare but potentially life-threatening condition, represents a diagnostic and therapeutic challenge. This case report describes a successful laparoscopic approach to a cecum hernia through the foramen of Winslow in a 63-ye...

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Detalles Bibliográficos
Autores principales: Chrabalowski, Martin, Begue, Priscila, Corvatta, Franco
Formato: Artículo revista
Lenguaje:Inglés
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2024
Materias:
internal hernia
cecum
laparoscopy
Colectomy
ciego
hernia interna
laparoscopia
colectomìa
Hérnia Interna
ceco
Colectomia
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/44555
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-44555
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Inglés
format Artículo revista
topic internal hernia
cecum
laparoscopy
Colectomy
ciego
hernia interna
laparoscopia
colectomìa
Hérnia Interna
ceco
laparoscopia
Colectomia
spellingShingle internal hernia
cecum
laparoscopy
Colectomy
ciego
hernia interna
laparoscopia
colectomìa
Hérnia Interna
ceco
laparoscopia
Colectomia
Chrabalowski, Martin
Begue, Priscila
Corvatta, Franco
Chrabalowski, Martin
Begue, Priscila
Corvatta, Franco
Chrabalowski, Martin
Begue, Priscila
Cecal internal hernia through Winslow's hiatus: : Laparoscopic resolution
topic_facet internal hernia
cecum
laparoscopy
Colectomy
ciego
hernia interna
laparoscopia
colectomìa
Hérnia Interna
ceco
laparoscopia
Colectomia
author Chrabalowski, Martin
Begue, Priscila
Corvatta, Franco
Chrabalowski, Martin
Begue, Priscila
Corvatta, Franco
Chrabalowski, Martin
Begue, Priscila
author_facet Chrabalowski, Martin
Begue, Priscila
Corvatta, Franco
Chrabalowski, Martin
Begue, Priscila
Corvatta, Franco
Chrabalowski, Martin
Begue, Priscila
author_sort Chrabalowski, Martin
title Cecal internal hernia through Winslow's hiatus: : Laparoscopic resolution
title_short Cecal internal hernia through Winslow's hiatus: : Laparoscopic resolution
title_full Cecal internal hernia through Winslow's hiatus: : Laparoscopic resolution
title_fullStr Cecal internal hernia through Winslow's hiatus: : Laparoscopic resolution
title_full_unstemmed Cecal internal hernia through Winslow's hiatus: : Laparoscopic resolution
title_sort cecal internal hernia through winslow's hiatus: : laparoscopic resolution
description Background: Hernia through Winslow's hiatus, known as Blandin’s hernia, a rare but potentially life-threatening condition, represents a diagnostic and therapeutic challenge. This case report describes a successful laparoscopic approach to a cecum hernia through the foramen of Winslow in a 63-year-old female.Case Presentation: The patient presented with 24 hours of abdominal pain and nausea. Abdominal CT scan revealed a herniated cecum and terminal ileum compressing the gastric chamber and portal vein, leading to periportal edema. Laparoscopic right colectomy was performed after successful colon content evacuation via the greater gastric curvature to facilitate reduction. This was done to aid in reduction, as there were indications of non-viability in the right colon. The procedure unfolded without complications.The patient developed postoperative abdominal collections requiring percutaneous drainage but recovered well and was discharged within two weeks.Conclusion: This case highlights the value of laparoscopy in managing foramen of Winslow hernias, offering minimally invasive benefits. Early diagnosis through imaging tools like CT is crucial for prompt surgical intervention and preventing complications like intestinal ischemia or perforation.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2024
url https://revistas.unc.edu.ar/index.php/med/article/view/44555
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last_indexed 2025-02-05T22:05:34Z
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spelling I10-R327-article-445552024-12-05T12:49:49Z Cecal internal hernia through Winslow's hiatus: : Laparoscopic resolution Hernia cecal interna por hiato de Winslow: : resolución laparoscópica Hérnia cecal interna através do hiato de Winslow: : resolução laparoscópica Chrabalowski, Martin Begue, Priscila Corvatta, Franco Chrabalowski, Martin Begue, Priscila Corvatta, Franco Chrabalowski, Martin Begue, Priscila internal hernia cecum laparoscopy Colectomy ciego hernia interna laparoscopia colectomìa Hérnia Interna ceco laparoscopia Colectomia Background: Hernia through Winslow's hiatus, known as Blandin’s hernia, a rare but potentially life-threatening condition, represents a diagnostic and therapeutic challenge. This case report describes a successful laparoscopic approach to a cecum hernia through the foramen of Winslow in a 63-year-old female.Case Presentation: The patient presented with 24 hours of abdominal pain and nausea. Abdominal CT scan revealed a herniated cecum and terminal ileum compressing the gastric chamber and portal vein, leading to periportal edema. Laparoscopic right colectomy was performed after successful colon content evacuation via the greater gastric curvature to facilitate reduction. This was done to aid in reduction, as there were indications of non-viability in the right colon. The procedure unfolded without complications.The patient developed postoperative abdominal collections requiring percutaneous drainage but recovered well and was discharged within two weeks.Conclusion: This case highlights the value of laparoscopy in managing foramen of Winslow hernias, offering minimally invasive benefits. Early diagnosis through imaging tools like CT is crucial for prompt surgical intervention and preventing complications like intestinal ischemia or perforation. Antecedentes: La hernia por hiato de Winslow, conocida como hernia de Blandin, una afección rara pero potencialmente mortal, representa un desafío diagnóstico y terapéutico. Este informe de caso describe un abordaje laparoscópico exitoso de una hernia de ciego a través del agujero de Winslow en una mujer de 63 años.Presentación del caso: El paciente presentó dolor abdominal y náuseas de 24 horas de evolución. La tomografía computarizada abdominal reveló una hernia de ciego y íleon terminal que comprimía la cámara gástrica y la vena porta, lo que provocaba edema periportal. La colectomía derecha laparoscópica se realizó después de una evacuación exitosa del contenido del colon a través de la curvatura gástrica mayor para facilitar la reducción. Esto se hizo para ayudar en la reducción, ya que había indicios de inviabilidad en el colon derecho. El procedimiento se desarrolló sin complicaciones.El paciente desarrolló colecciones abdominales posoperatorias que requirieron drenaje percutáneo, pero se recuperó bien y fue dado de alta a las dos semanas.Conclusión: Este caso resalta el valor de la laparoscopia en el manejo del foramen de las hernias de Winslow, ofreciendo beneficios mínimamente invasivos. El diagnóstico temprano mediante herramientas de imagen como la tomografía computarizada es crucial para una intervención quirúrgica rápida y prevenir complicaciones como isquemia intestinal o perforación. Antecedentes: A hérnia de hiato de Winslow, conhecida como hérnia de Blandin, uma condição rara, mas potencialmente fatal, representa um desafio diagnóstico e terapêutico. Este relato de caso descreve uma abordagem laparoscópica bem-sucedida de uma hérnia cecal através do forame de Winslow em uma mulher de 63 anos.Apresentação do caso: Paciente apresentou dor abdominal e náuseas por 24 horas. A tomografia computadorizada abdominal revelou hérnia de ceco e íleo terminal comprimindo a câmara gástrica e a veia porta, causando edema periportal. A colectomia direita laparoscópica foi realizada após evacuação bem sucedida do conteúdo colônico através da grande curvatura gástrica para facilitar a redução. Isso foi feito para auxiliar na redução, pois havia indícios de inviabilidade no cólon direito. O procedimento transcorreu sem complicações.O paciente desenvolveu coleções abdominais pós-operatórias com necessidade de drenagem percutânea, mas se recuperou bem e recebeu alta após duas semanas.Conclusão: Este caso destaca o valor da laparoscopia no manejo do forame das hérnias de Winslow, oferecendo benefícios minimamente invasivos. O diagnóstico precoce por meio de ferramentas de imagem como a tomografia computadorizada é crucial para uma intervenção cirúrgica rápida e para prevenir complicações como isquemia ou perfuração intestinal. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2024-09-27 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/44555 10.31053/1853.0605.v81.n3.44555 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 81 No. 3 (2024); 587-597 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 81 Núm. 3 (2024); 587-597 Revista da Faculdade de Ciências Médicas de Córdoba; v. 81 n. 3 (2024); 587-597 1853-0605 0014-6722 10.31053/1853.0605.v81.n3 eng https://revistas.unc.edu.ar/index.php/med/article/view/44555/46744 https://revistas.unc.edu.ar/index.php/med/article/view/44555/46576 Derechos de autor 2024 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0

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