| Title | Rare cause of acute pain in the left upper abdominal quadrant. | | Author(s) | Kanellos D, Kockerling F, Moesta KT | | Institution | Department of Surgery and Centre of Minimally Invasive Surgery, Hanover Hospital (Siloah), Roesebeckstrasse 15, 30449, Hanover, Germany, kanellosd@yahoo.com. | | Source | Hernia 2008 May 20. | | Abstract | We report a case of a 45-year-old man with acute pain in the left upper abdominal quadrant. Extensive diagnostic workup remained inconclusive. An exploratory laparotomy revealed herniation of the entire ascending colon, together with a part of the terminal ileum through the foramen of Winslow into the bursa omentalis. The internal hernia was further complicated by a perforated appendicitis within the bursa, explaining the acuteness of the symptoms. Reduction of the hernia, appendectomy and colopexy were performed consequently. This would be the first reported case of a perforated appendicitis within the lesser sack. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 18491204 |
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