{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T20:52:04Z","timestamp":1765486324608,"version":"3.44.0"},"reference-count":19,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,6,20]]},"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:p>Foramen of Winslow hernias is a rare and challenging diagnosis as signs and symptoms are usually non-specific. CT imaging has become the method of choice in diagnosing such conditions preoperatively. Traditionally managed via laparotomy, there has been an increase in the use of the minimally invasive technique in recent times, though experience remains sparse. This is a case of a 73-year-old woman with hepatic flexure herniation through the foramen of Winslow who was managed by the traditional laparotomy approach. A review of the literature was performed to learn key techniques in the use of laparoscopy to manage future cases.<\/jats:p>","DOI":"10.1136\/bcr-2019-230166","type":"journal-article","created":{"date-parts":[[2019,7,12]],"date-time":"2019-07-12T05:34:22Z","timestamp":1562909662000},"page":"e230166","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Herniation of the hepatic flexure through the foramen of Winslow, and a review of literature describing the minimally invasive technique"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0618-5865","authenticated-orcid":false,"given":"Kwang Kiat","family":"Sim","sequence":"first","affiliation":[{"name":"General Surgery, South Metropolitan Health Service and East Metropolitan Health Service Library and Information Service Royal Perth Hospital, Murdoch, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Foster","sequence":"additional","affiliation":[{"name":"Acute Surgical Unit, Fiona Stanley Hospital, Murdoch, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,7,11]]},"reference":[{"key":"2025082711325004000_12.7.e230166.1","doi-asserted-by":"crossref","first-page":"e190","DOI":"10.1097\/SLE.0b013e31821fd5e1","article-title":"Laparoscopic reduction of an internal hernia of transverse colon through the foramen of Winslow","volume":"21","author":"Clough","year":"2011","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"2025082711325004000_12.7.e230166.2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-010-0671-2"},{"key":"2025082711325004000_12.7.e230166.3","doi-asserted-by":"crossref","first-page":"e221","DOI":"10.1016\/j.jviscsurg.2012.02.002","article-title":"Strangulated lesser sac hernia","volume":"149","author":"Guinier","year":"2012","journal-title":"J Visc Surg"},{"key":"2025082711325004000_12.7.e230166.4","doi-asserted-by":"publisher","DOI":"10.1186\/s40792-016-0274-y"},{"key":"2025082711325004000_12.7.e230166.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2007.05.058"},{"key":"2025082711325004000_12.7.e230166.6","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1046\/j.1442-2034.2003.00175.x","article-title":"Internal hernia traversing the lesser sac","volume":"7","author":"Nikfarjam","year":"2003","journal-title":"Annals of the College of Surgeons Hong Kong"},{"key":"2025082711325004000_12.7.e230166.7","first-page":"64","article-title":"Laparoscopic Repair of Foramen of Winslow Hernia","volume":"25","author":"Garg","year":"2016","journal-title":"Int J Angiol"},{"key":"2025082711325004000_12.7.e230166.8","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-011-0889-7"},{"key":"2025082711325004000_12.7.e230166.9","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1007\/s00383-005-1376-y","article-title":"Herniation through the foramen of Winslow presenting as obstructive jaundice","volume":"21","author":"Antao","year":"2005","journal-title":"Pediatr Surg Int"},{"key":"2025082711325004000_12.7.e230166.10","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":"2025082711325004000_12.7.e230166.11","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1111\/ases.12372","article-title":"Case of ileal herniation through the foramen of Winslow diagnosed preoperatively by CT and treated with laparoscopic surgery","volume":"10","author":"Ichikawa","year":"2017","journal-title":"Asian J Endosc Surg"},{"key":"2025082711325004000_12.7.e230166.12","doi-asserted-by":"crossref","first-page":"1180","DOI":"10.1016\/j.gassur.2005.06.011","article-title":"Transverse colon herniation through the foramen of Winslow presenting with unusual CT findings","volume":"10","author":"Pernice","year":"2006","journal-title":"J Gastrointest Surg"},{"key":"2025082711325004000_12.7.e230166.13","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1007\/s10140-012-1090-8","article-title":"Internal hernia through the foramen of Winslow: the \u201cnarrowed portal vein\u201d sign on abdominal CT","volume":"20","author":"Yamashiro","year":"2013","journal-title":"Emerg Radiol"},{"key":"2025082711325004000_12.7.e230166.14","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1080\/00015458.2008.11680192","article-title":"Caecum and ascending colon herniated in the lesser sac through the Winslow\u2019s hiatus. 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