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August 17, 1970

Cecal Volvulus with Herniation through Foramen of Winslow

JAMA. 1970;213(7):1194. doi:10.1001/jama.1970.03170330074019

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