PMC6076217_01
Abdominal contrast-enhanced CT scans. (a, b, c) The small intestine herniating through the Foramen of Winslow is shown (arrow). A poorly perfused area of the small intestine is seen, lateral to the hernia orifice (arrowhead).
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Small intestines lateral to the hepatoduodenal ligament showed poor perfusion (Fig. 1.a, b, c).
Intraoperative findings. a. After laparotomy, it was initially thought that the small intestine was herniated from right to left, as occurs in a typical case of FWH. b. The small intestine traveling dorsal to the stomach and passing through the foramen of Winslow from left to right is shown. c. Schema. d. e. The foramen of Winslow is shown.
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Tracing the course of the small intestine from the Treitz ligament, the small intestine was found to have traveled dorsal of the stomach and herniated through the foramen of Winslow from left to right (Fig. 2.a- e).