Gallbladder herniation into the lesser sac through the foramen of Winslow: report of a case

Surg Today. 2013 Oct;43(10):1194-8. doi: 10.1007/s00595-012-0478-0. Epub 2013 Jan 22.

Abstract

We report a case of gallbladder hernia into the lesser sac through the foramen of Winslow. The patient was a 90-year-old woman, admitted to hospital with obstructive jaundice. Computed tomography (CT) showed a left-deviated and remarkably enlarged gallbladder dragging the liver, and a dilated intrahepatic bile duct. The deviated gallbladder was thought to compress the common bile duct, causing the obstruction. Laparoscopic examination revealed gallbladder herniation into the lesser sac without a floating gallbladder; thus, we performed laparoscopic cholecystectomy. Herniation of the gallbladder is the rarest of all internal hernias and most reported cases have involved a floating gallbladder. The case we report here is therefore considered especially unusual.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Bile Ducts, Intrahepatic / diagnostic imaging
  • Bile Ducts, Intrahepatic / pathology
  • Cholecystectomy, Laparoscopic
  • Cholecystography
  • Cholestasis, Intrahepatic / etiology
  • Female
  • Gallbladder / pathology
  • Gallbladder Diseases / complications
  • Gallbladder Diseases / diagnosis
  • Gallbladder Diseases / pathology*
  • Gallbladder Diseases / surgery*
  • Hernia / complications
  • Hernia / diagnosis
  • Hernia / pathology*
  • Herniorrhaphy / methods*
  • Humans
  • Jaundice, Obstructive / etiology
  • Peritoneal Cavity / pathology*
  • Tomography, X-Ray Computed
  • Treatment Outcome