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Internal hernia after laparoscopic right hemicolectomy, report of a case.
Sugita, Hiroki; Akiyama, Takahiko; Daitoku, Naoya; Tashima, Rumiko; Tanaka, Hiroshi; Honda, Shinobu; Arita, Tetsumasa; Yagi, Yasushi; Hirota, Masahiko.
Afiliación
  • Sugita H; Department of Surgery, Kumamoto Regional Medical Center, Kumamoto, Japan.
  • Akiyama T; Department of Surgery, Kumamoto Regional Medical Center, Kumamoto, Japan.
  • Daitoku N; Department of Surgery, Kumamoto Regional Medical Center, Kumamoto, Japan.
  • Tashima R; Department of Surgery, Kumamoto Regional Medical Center, Kumamoto, Japan.
  • Tanaka H; Department of Surgery, Kumamoto Regional Medical Center, Kumamoto, Japan.
  • Honda S; Department of Surgery, Kumamoto Regional Medical Center, Kumamoto, Japan.
  • Arita T; Department of Surgery, Kumamoto Regional Medical Center, Kumamoto, Japan.
  • Yagi Y; Department of Surgery, Kumamoto Regional Medical Center, Kumamoto, Japan.
  • Hirota M; Department of Surgery, Kumamoto Regional Medical Center, Kumamoto, Japan.
J Surg Case Rep ; 2017(5): rjw217, 2017 May.
Article en En | MEDLINE | ID: mdl-28560018
Mesenteric defects are often not closed in laparoscopic colectomy. We herein report a case of an internal hernia projecting through a mesenteric defect following laparoscopy-assisted right hemicolectomy. A 74-year-old woman was hospitalized for the surgical treatment of double colon cancer. Preoperative colonoscopy demonstrated the presence of ascending colon and transverse colon cancers. A laparoscopic-assisted right hemicolectomy was performed. The mesenteric defect resulting from the colectomy was not closed. Three months after the surgery, the patient developed a bowel obstruction. Under a diagnosis of strangulated bowel obstruction, we performed a laparotomy, and found a necrotic small bowel, which had passed into the bursa omentalis through the mesenteric defect. We removed the necrotic small bowel and closed the mesenteric defect by suturing. The patient's postoperative course was uneventful. An internal hernia projecting through a mesenteric defect following laparoscopy-assisted right hemicolectomy developed a severe strangulated bowel obstruction.

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Surg Case Rep Año: 2017 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Surg Case Rep Año: 2017 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido