If you don't remember your password, you can reset it by entering your email address and clicking the Reset Password button. You will then receive an email that contains a secure link for resetting your password
If the address matches a valid account an email will be sent to __email__ with instructions for resetting your password
A 39-year-old man presented to the emergency department with a 3-day history of worsening
abdominal pain, nausea, and vomiting. He had no abdominal surgical history. He was
afebrile, normotensive at 125/70 mm Hg, tachycardic at 130 beats per minute, and mildly
tachypnoeic at 22 breaths per minute. On examination, his abdomen was diffusely tender
with guarding but no evidence of peritonism. He had an elevated lactate of 3 mmol/L
and normal inflammatory markers. Computed tomography (CT) of the abdomen and pelvis
was performed. On review of the imaging (Figure 1), what diagnosis explains the patient’s acute presentation?
A)
Paraduodenal hernia
B)
Littre hernia
C)
Foramen of Winslow hernia
D)
Pericecal hernia
Figure 1Coronal contrast-enhanced CT demonstrates a foramen of Winslow hernia with small bowel
present in the lesser sac.
