Van Deusen Shawn, Birkhahn Robert H, Gaeta Theodore J, Bove Joseph J
Department of Emergency Medicine, New York Methodist Hospital, Brooklyn, New York 11215, USA.
J Emerg Med. 2002 Oct;23(3):243-6. doi: 10.1016/s0736-4679(02)00525-5.
Laparoscopic surgical procedures are infrequently complicated by bowel herniation through unsutured trocar sites. Nevertheless, there is a risk of this complication in patients presenting with symptoms of small bowel obstruction after laparoscopy. We present a case of delayed small bowel obstruction due to a Richter's hernia, a rare type of hernia that involves incomplete protrusion of bowel wall through a surgical defect. Knowledge of this potential complication of laparoscopic procedures may prevent the significant morbidity that results from mechanical small bowel obstruction with necrosis.