RESUMO
Internal herniation through the foramen of Winslow is a rare cause of abdominal hernia. We describe a case in which caecal herniation through the foramen of Winslow was diagnosed using various imaging modalities, including computed tomography and managed operatively through hernia identification, caecal reduction and foramen closure. The literature is subsequently reviewed to highlight previous similar episodes and identify the optimal modalities for pre-operative diagnosis and describe the most appropriate intra-operative management.
Assuntos
Doenças do Ceco/etiologia , Procedimentos Cirúrgicos do Sistema Digestório/métodos , Hérnia Abdominal/complicações , Herniorrafia/métodos , Obstrução Intestinal/etiologia , Adulto , Doenças do Ceco/diagnóstico , Doenças do Ceco/cirurgia , Diagnóstico Diferencial , Feminino , Hérnia Abdominal/diagnóstico , Hérnia Abdominal/cirurgia , Humanos , Obstrução Intestinal/diagnóstico , Obstrução Intestinal/cirurgia , Tomografia Computadorizada por Raios XRESUMO
A 63-year-old woman was diagnosed with acute myelo-monocytic leukaemia, associated with MLL gene rearrangement, 16 months after completion of oral capecitabine for metastatic colon cancer. Capecitabine, recommended for use in metastatic breast and colon cancer and more recently as adjuvant treatment of colon cancer, has not previously been reported to be associated with secondary cancer.