Alkhoury Fuad, Martin Jeremiah
Department of Pediatric Surgery, Miami Children's Hospital, 3200 S.W. 60th Court, Suite 201, Miami, FL 33155, USA.
Int J Surg Case Rep. 2012;3(12):584-6. doi: 10.1016/j.ijscr.2012.07.012. Epub 2012 Aug 16.
We describe the occurrence of a retroperitoneal hernia into the colonic mesentery after abdomoniperineal resection (APR) for rectal cancer.
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.
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.
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.
我们描述了一例直肠癌经腹会阴联合切除术（APR）后发生的结肠系膜后腹膜疝。
一名70岁男性因复杂的腹膜后疝导致完全性小肠梗阻。进行了手术修复，成功还纳了疝内容物。
报告了有关腹膜后疝的文献综述。这种情况在成年人中很少见。讨论了APR后盆腔空间的处理。关闭盆腔腹膜有助于避免这种及其他类似并发症。
我们认为这是首例由这种不寻常的疝情况导致小肠梗阻的报告。尽管罕见，但保持警惕并进行全面的影像学检查可有效及时地处理这种并发症。
