Obstructive jaundice and severe pancreatitis due to the foramen of Winslow hernia with multiple anomalies

Internal hernia through the foramen of Winslow is a very rare condition, especially in children. Here we report a 16-month-old girl who presented with obstructive jaundice and elevation of pancreatic enzymes and was ultimately diagnosed with internal hernia and malrotation by radiologic investigation and open approach surgery. To the best of our knowledge, obstructive jaundice with pancreatitis and other congenital abnormalities in children with the foramen of Winslow hernia have not been reported previously in the literature.

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1.Martin LC, Merkle EM, Thompson WM. Review of internal hernias: radiographic and clinical findings. AJR Am J Roentgenol 2006; 186: 703-717.

2.Mboyo A, Goura E, Massicot R, et al. An exceptional cause of intestinal obstruction in a 2-year-old boy: strangulated hernia of the ileum through Winslow's foramen. J Pediatr Surg 2008; 43: e1-e3.

3.Antao B, Hamill J, Samuel M, Hiorns M, Pierro A. Herniation through the foramen of Winslow presenting as obstructive jaundice. Pediatr Surg Int 2005; 21: 560-562.

4.Zer M, Dintsman M. Incarcerated "Foramen of Winslow" hernia in a newborn. J Pediatr Surg 1973; 8: 325.

5.Joo YE, Kim HS, Choi SK, et al. Internal hernia presenting as obstructive jaundice and acute pancreatitis. Scand J Gastroenterol 2002; 37: 983-986.

6.Yamashiro T, Ikeda H, Fujikawa A, et al. Internal hernia through the foramen of Winslow: the "narrowed portal vein" sign on abdominal CT. Emerg Radiol 2013; 20: 247-250.
Turkish Journal of Pediatrics-Cover
  • ISSN: 0041-4301
  • Yayın Aralığı: Yılda 6 Sayı
  • Başlangıç: 1958
  • Yayıncı: Hacettepe Üniversitesi Çocuk Sağlığı Enstitüsü Müdürlüğü
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