This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

William Morioka, MD; R. M. Keltner, Jr., MD
St. Louis

JAMA. 1970;213(7):1194.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Herniation of the intestine through the foramen of Winslow is a rare form of internal hernia representing 8% of internal hernias according to Hansman and Morton.¹ A collected review by Erskine² records 27 cases of cecal herniation through the foramen of Winslow. The mortality was 48%.

In the case presented, herniation of the cecum through the foramen of Winslow was associated with volvulus of the cecum. Both conditions have high mortalities, attributed to delay in definitive treatment.³ This case is unique because of the simultaneous occurrence of two lethal abnormalities of the gastrointestinal tract. Mortality can be significantly reduced in these cases if the lesion is recognized early and operative intervention undertaken promptly.

Report of a Case.—

A white woman aged 67 years was admitted to the St. Louis City Hospital on Oct 25, 1968, complaining of cramping pain in the epigastric region and . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?