A post operative complication of foramen of Winslow hernia with left to right herniation of the small intestine: An extremely rare case report

INTRODUCTION: A foramen of Winslow hernia (FWH) is a type of internal hernias. Generally, the contents of the hernia pass through the foramen of Winslow from right to left. The case presented in this report is ery unusual, as the small intestine in the hernia passed through the foramen from left to right. PRESENTATION OF CASE: A 67-year-old woman deeloped a sudden abdominal pain 15 days after laparoscopic subtotal colectomy. Abdominal contrast-enhanced computed tomography (CT) examination reealed a FWH, and an emergency surgery was scheduled. The small intestine was found to be herniating from the caity of the omental bursa through the foramen of Winslow, to the right side of the hepatoduodenal ligament, and was incarcerated. The incarcerated intestine was reduced, and the necrotic part of the intestine was resected. In addition, the foramen of Winslow and the caity of omental bursa were closed to preent relapse. CONCLUSION: To our knowledge, here we report the first FWH of which the contents of the hernia are herniated from left to right, in literature. Whether the Foramen should be closed or not requires discussion, howeer, we conclude that the foramen should be closed when possible, acknowledging previous reports and the present case. (c) 2018 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.