# Foramen of Winslow Hernias: A Case Series of a Rare Cause of Bowel Obstruction in Three Women

## TL;DR

This case series presents three women with rare foramen of Winslow hernias causing bowel obstruction and their successful surgical treatments.

## Contribution

The study adds to the limited literature by describing three distinct clinical presentations and surgical approaches for a rare condition.

## Key findings

- Three women aged 51-66 presented with epigastric pain and were diagnosed with foramen of Winslow hernias via CT.
- Surgical interventions included robotic and open approaches, with no postoperative complications or hernia recurrence.
- The cases demonstrate variability in clinical presentation and management of this rare hernia type.

## Abstract

This case series describes three female patients between the ages of 51 and 66 who presented with epigastric pain with or without nausea, vomiting, and diarrhea. Each had minimal medical and surgical histories, most notably one with a congenital malrotation and prior cholecystectomy, one with an enlarged right lobe of the liver, and one with a prior hiatal hernia repair. CT results suggested a hernia through the foramen of Winslow (FWH) in each case, which was confirmed intraoperatively. Each patient underwent surgical treatment, two with a robotic approach and one with an open approach. One underwent a partial hemicolectomy and another a partial cecectomy for significant cecal dilation. All patients' postoperative courses were uncomplicated, and each recovered with no hernia recurrence or symptoms. These cases highlight the variability in presentation, imaging findings, and surgical decision-making associated with FWH.