Foramen of WinsloW hernia

SUMMARYForamen of Winslow hernia is a rare surgical conditionthat is notoriously difficult to diagnose and most patients arediagnosed only at the time of surgery. As such, a high index ofsuspicion is necessary to avoid potentially life-threateningcomplications. The present paper describes two such cases. Inthe first case, a freely suspending gall bladder herniated intothe lesser sac via the foramen of Winslow. This was diagnosedduring a scheduled laparoscopic cholecystectomy. In thesecond case, the caecum herniated into the foramen of Winslowcausing small bowel obstruction and ischaemic . Diagnosticdilemma and treatment of the condition is also described.Key word: Epiploeic foramen hernia, foramen of Winslowhernia, internal hernia

RIASSUNTOL’ernia del forame di Winslow è rara e presenta notevolidifficoltà sia alla diagnosi che al trattamento chirurgico. Ilpresente lavoro descrive due casi clinici il primo con sospettaerniazione della vescica diagnosticato dopo una VLC ed ilsecondo con il cieco erniato causa di ostruzione e ischemia.Diagnosi e trattamento sono descrittiParole chiave: Forame di Winslow, ernia interna