A Twisted Cecum: Herniation and Volvulus of the Cecum Through the Epiploic Foramen

Herniation of the cecum, terminal ileum, and ascending colon through the epiploic foramen is an uncommon presentation of an internal hernia. An 82-year-old female presented with a small bowel obstruction; Computed Tomography (CT) imaging showed a herniation of the terminal ileum, cecum, and ascendin...

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Autores principales: Chandhrasekhar, Deepa, Droger, Ariel, Baatz, Margaux, Chapuis, Timothee, Fox-McClary, Debora J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
General Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9445405/
https://www.ncbi.nlm.nih.gov/pubmed/36106284
http://dx.doi.org/10.7759/cureus.27754
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author Chandhrasekhar, Deepa
Droger, Ariel
Baatz, Margaux
Chapuis, Timothee
Fox-McClary, Debora J
author_facet Chandhrasekhar, Deepa
Droger, Ariel
Baatz, Margaux
Chapuis, Timothee
Fox-McClary, Debora J
author_sort Chandhrasekhar, Deepa
collection PubMed
description Herniation of the cecum, terminal ileum, and ascending colon through the epiploic foramen is an uncommon presentation of an internal hernia. An 82-year-old female presented with a small bowel obstruction; Computed Tomography (CT) imaging showed a herniation of the terminal ileum, cecum, and ascending colon through the foramen of Winslow into the lesser sac, with cecal volvulus. Prompt surgical treatment included laparotomy and reduction of the hernia, followed by an extended right hemicolectomy with primary anastomosis and functional closure of the epiploic foramen. This report reviews the natural history and management of this rare pathology.
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spelling pubmed-94454052022-09-13 A Twisted Cecum: Herniation and Volvulus of the Cecum Through the Epiploic Foramen Chandhrasekhar, Deepa Droger, Ariel Baatz, Margaux Chapuis, Timothee Fox-McClary, Debora J Cureus General Surgery Herniation of the cecum, terminal ileum, and ascending colon through the epiploic foramen is an uncommon presentation of an internal hernia. An 82-year-old female presented with a small bowel obstruction; Computed Tomography (CT) imaging showed a herniation of the terminal ileum, cecum, and ascending colon through the foramen of Winslow into the lesser sac, with cecal volvulus. Prompt surgical treatment included laparotomy and reduction of the hernia, followed by an extended right hemicolectomy with primary anastomosis and functional closure of the epiploic foramen. This report reviews the natural history and management of this rare pathology. Cureus 2022-08-07 /pmc/articles/PMC9445405/ /pubmed/36106284 http://dx.doi.org/10.7759/cureus.27754 Text en Copyright © 2022, Chandhrasekhar et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle General Surgery
Chandhrasekhar, Deepa
Droger, Ariel
Baatz, Margaux
Chapuis, Timothee
Fox-McClary, Debora J
A Twisted Cecum: Herniation and Volvulus of the Cecum Through the Epiploic Foramen
title A Twisted Cecum: Herniation and Volvulus of the Cecum Through the Epiploic Foramen
title_full A Twisted Cecum: Herniation and Volvulus of the Cecum Through the Epiploic Foramen
title_fullStr A Twisted Cecum: Herniation and Volvulus of the Cecum Through the Epiploic Foramen
title_full_unstemmed A Twisted Cecum: Herniation and Volvulus of the Cecum Through the Epiploic Foramen
title_short A Twisted Cecum: Herniation and Volvulus of the Cecum Through the Epiploic Foramen
title_sort twisted cecum: herniation and volvulus of the cecum through the epiploic foramen
topic General Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9445405/
https://www.ncbi.nlm.nih.gov/pubmed/36106284
http://dx.doi.org/10.7759/cureus.27754
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