{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T08:28:56Z","timestamp":1781512136360,"version":"3.54.1"},"reference-count":23,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,6,8]]},"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:p>Internal hernias through the foramen of Winslow are very rare. An 80-year-old female patient presented with epigastric and right upper quadrant pain associated with abdominal distention, nausea and vomiting for 1\u2009day. A CT scan showed an internal hernia with terminal ileum and caecum identified within the lesser sac. The diagnosis was confirmed by laparotomy. A right hemicolectomy was performed to prevent further recurrence. We reviewed case reports with the same presentation by searching the Pubmed database using the keywords: \u2018foramen Winslow hernia, cecum\u2019. We identified 23 publications. Our review extracted the following information: presentation, anatomical findings, pathological causes and surgical management. Misdiagnosis was common due to the limitations of plain abdominal X-rays. Abdominal CT scan is now the preferred radiological study and is more effective in establishing a diagnosis. Surgical treatment options varied. Right hemicolectomy has emerged as the preferred procedure to decrease the rate of recurrence.<\/jats:p>","DOI":"10.1136\/bcr-2018-228239","type":"journal-article","created":{"date-parts":[[2019,7,2]],"date-time":"2019-07-02T06:15:11Z","timestamp":1562048111000},"page":"e228239","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Internal hernia of caecum through the foramen of Winslow"],"prefix":"10.1136","volume":"12","author":[{"given":"Faez","family":"Ayoob","sequence":"first","affiliation":[{"name":"General Surgery, Staten Island University Hospital, Staten Island, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rami","family":"Michael","sequence":"additional","affiliation":[{"name":"General Surgery, Staten Island University Hospital, Staten Island, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3211-637X","authenticated-orcid":false,"given":"Zachary","family":"Chadnick","sequence":"additional","affiliation":[{"name":"General Surgery, Staten Island University Hospital, Staten Island, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Fasanya","sequence":"additional","affiliation":[{"name":"General Surgery, Staten Island University Hospital, Staten Island, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,7,1]]},"reference":[{"key":"2025082802261903000_12.7.e228239.1","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1016\/j.ijscr.2013.07.014","article-title":"Hernia of cecum and ascending colon through the foramen of Winslow","volume":"4","author":"Puig","year":"2013","journal-title":"Int J Surg Case Rep"},{"key":"2025082802261903000_12.7.e228239.2","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-009-1450-2"},{"key":"2025082802261903000_12.7.e228239.3","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-009-9582-z"},{"key":"2025082802261903000_12.7.e228239.4","first-page":"56","article-title":"Hernia through the foramen of Winslow","volume":"30","author":"Richardson","year":"1981","journal-title":"Md State Med J"},{"key":"2025082802261903000_12.7.e228239.5","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/s40792-016-0139-4","article-title":"Laparoscopic management of foramen of Winslow incarcerated hernia","volume":"2","author":"Daher","year":"2016","journal-title":"Surg Case Rep"},{"key":"2025082802261903000_12.7.e228239.6","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1007\/BF02589914","article-title":"Herniation of the cecum through the foramen of Winslow: radiographic diagnosis and report of a case","volume":"16","author":"Malter","year":"1973","journal-title":"Dis Colon Rectum"},{"key":"2025082802261903000_12.7.e228239.7","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1007\/BF02553325","article-title":"Herniation through the foramen of Winslow","volume":"25","author":"Cohen","year":"1982","journal-title":"Dis Colon Rectum"},{"key":"2025082802261903000_12.7.e228239.8","first-page":"B152","article-title":"Herniation of caecum through the foramen of Winslow","volume":"51 Spec No","author":"Da Costa","year":"2007","journal-title":"Australas Radiol"},{"key":"2025082802261903000_12.7.e228239.9","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1111\/ans.12681","article-title":"Re: Internal herniation of the caecum through the foramen of Winslow","volume":"84","author":"Dissanayake","year":"2014","journal-title":"ANZ J Surg"},{"key":"2025082802261903000_12.7.e228239.10","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(67)90422-9"},{"key":"2025082802261903000_12.7.e228239.11","doi-asserted-by":"publisher","DOI":"10.1007\/BF02054699"},{"key":"2025082802261903000_12.7.e228239.12","first-page":"304","article-title":"Herniation of cecum and terminal ileum through the foramen of Winslow","volume":"61","author":"Harned","year":"1974","journal-title":"Am J Gastroenterol"},{"key":"2025082802261903000_12.7.e228239.13","doi-asserted-by":"crossref","first-page":"2385","DOI":"10.1007\/s00464-014-3944-5","article-title":"Foramen of Winslow hernia: a minimally invasive approach","volume":"29","author":"Harnsberger","year":"2015","journal-title":"Surg Endosc"},{"key":"2025082802261903000_12.7.e228239.14","first-page":"687","article-title":"Hernia through the foramen of Winslow: report of a case","volume":"34","author":"Haynes","year":"1968","journal-title":"Am Surg"},{"key":"2025082802261903000_12.7.e228239.15","doi-asserted-by":"crossref","first-page":"903","DOI":"10.12998\/wjcc.v2.i12.903","article-title":"Cecal bascule herniation into the lesser sac","volume":"2","author":"Makarawo","year":"2014","journal-title":"World J Clin Cases"},{"key":"2025082802261903000_12.7.e228239.16","doi-asserted-by":"crossref","first-page":"1194","DOI":"10.1001\/jama.1970.03170330074019","article-title":"Cecal volvulus with herniation through foramen of Winslow","volume":"213","author":"Morioka","year":"1970","journal-title":"JAMA"},{"key":"2025082802261903000_12.7.e228239.17","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1177\/000313480006600616","article-title":"Herniation of the hepatic flexure through the foramen of Winslow: a case report","volume":"66","author":"Orseck","year":"2000","journal-title":"Am Surg"},{"key":"2025082802261903000_12.7.e228239.18","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1016\/S1072-7515(01)01156-5","article-title":"Hernia of right colon and cecum through the foramen of Winslow and lesser omentum","volume":"194","author":"Rich","year":"2002","journal-title":"J Am Coll Surg"},{"issue":"1-2","key":"2025082802261903000_12.7.e228239.19","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1111\/ans.12235","article-title":"Internal herniation of the caecum through the foramen of Winslow","volume":"84","author":"Ryan","year":"2014","journal-title":"ANZ J Surg"},{"key":"2025082802261903000_12.7.e228239.20","first-page":"254","article-title":"Hernia through the foramen of Winslow: a complication of cholecystectomy. A case report","volume":"53","author":"Valenziano","year":"1987","journal-title":"Am Surg"},{"key":"2025082802261903000_12.7.e228239.21","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-010-0671-2"},{"key":"2025082802261903000_12.7.e228239.22","doi-asserted-by":"crossref","first-page":"1252","DOI":"10.1177\/000313480907501220","article-title":"Internal herniation of the cecum through the foramen of Winslow","volume":"75","author":"Webb","year":"2009","journal-title":"Am Surg"},{"key":"2025082802261903000_12.7.e228239.23","first-page":"94","article-title":"Case of internal hernia occasioned by an unusual cause","volume":"22","author":"Greenhow","year":"1824","journal-title":"Edinb Med Surg J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-228239","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:26:30Z","timestamp":1756373190000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-228239"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":23,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2019,7,1]]},"published-print":{"date-parts":[[2019,7]]}},"alternative-id":["10.1136\/bcr-2018-228239"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-228239","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7]]}}}