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Internal herniation through the mesenteric opening after laparoscopy-assisted right colectomy: report of a case.
Jimi, Sei-ichiro; Hotokezaka, Masayuki; Eto, Tada-aki; Hidaka, Hideki; Maehara, Naoki; Matsumoto, Kotaro; Chijiiwa, Kazuo.
Afiliación
  • Jimi S; Department of Surgery 1, Miyazaki University School of Medicine, Miyazaki, Japan.
Surg Laparosc Endosc Percutan Tech ; 17(4): 339-41, 2007 Aug.
Article en En | MEDLINE | ID: mdl-17710064
We discuss a rare complication in a patient who underwent laparoscopic colectomy. A 69-year-old woman underwent laparoscopy-assisted right colectomy for cancer of the ascending colon. Two months after the operation, bowel obstruction developed. Decompression with a long intestinal tube failed to resolve the obstruction. Thus, surgery was performed. Abdominal exploration revealed a strangulated ileal loop caused by herniation through the mesenteric opening at the anastomotic site. The mesenterium had not been sutured during the previous operation. The anastomotic segment had twisted semicircularly and adhered to the retroperitoneum, so the mesenteric opening had narrowed.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Colectomía / Hernia Abdominal / Enfermedades del Íleon Tipo de estudio: Etiology_studies Límite: Aged / Female / Humans Idioma: En Revista: Surg Laparosc Endosc Percutan Tech Asunto de la revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Año: 2007 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Colectomía / Hernia Abdominal / Enfermedades del Íleon Tipo de estudio: Etiology_studies Límite: Aged / Female / Humans Idioma: En Revista: Surg Laparosc Endosc Percutan Tech Asunto de la revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Año: 2007 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos