Article Text

Download PDFPDF
Herniation of the hepatic flexure through the foramen of Winslow, and a review of literature describing the minimally invasive technique
  1. Kwang Kiat Sim1 and
  2. Amanda Foster2
  1. 1 General Surgery, South Metropolitan Health Service and East Metropolitan Health Service Library and Information Service Royal Perth Hospital, Murdoch, Western Australia, Australia
  2. 2 Acute Surgical Unit, Fiona Stanley Hospital, Murdoch, Western Australia, Australia
  1. Correspondence to Dr Kwang Kiat Sim, kwang.sim{at}


Foramen of Winslow hernias is a rare and challenging diagnosis as signs and symptoms are usually non-specific. CT imaging has become the method of choice in diagnosing such conditions preoperatively. Traditionally managed via laparotomy, there has been an increase in the use of the minimally invasive technique in recent times, though experience remains sparse. This is a case of a 73-year-old woman with hepatic flexure herniation through the foramen of Winslow who was managed by the traditional laparotomy approach. A review of the literature was performed to learn key techniques in the use of laparoscopy to manage future cases.

  • general surgery
  • radiology
View Full Text

Statistics from


  • Contributors Patient was under care of AF. Report was written by KKS. Manuscript reviewed and edited by AF.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.