Case report: Complex retroperitoneal herniation after abdominoperineal resection.

INTRODUCTION

We describe the occurrence of a retroperitoneal hernia into the colonic mesentery after abdomoniperineal resection (APR) for rectal cancer.

PRESENTATION OF CASE

A 70year old male presented with complete small bowel obstruction secondary to a complex retroperitoneal herniation. Operative repair was carried out with successful reduction of the hernia contents.

DISCUSSION

A review of the literature is reported concerning retroperitoneal hernia. This occurrence is rare in the adult. Management of the resultant pelvic space after APR is discussed. Closure of the pelvic peritoneum is helpful in avoiding this and other similar complications.

CONCLUSION

We believe this to be the first report of a small bowel obstruction secondary to this unusual hernia circumstance. Although rare, due vigilance and thorough imaging can lead to effective and timely management of this complication.