Madhavan Shibumon Mundunadackal, Potunru Vamsi Krishna, Augustine Alfred Joseph
Associate Professor, Department of General Surgery, Kasturba Medical College Hospital, Mangalore, Manipal University , Karnataka, India .
Assistant Professor, Department of General Surgery, Kasturba Medical College Hospital, Mangalore, Manipal University , Karnataka, India .
J Clin Diagn Res. 2016 Apr;10(4):PD23-4. doi: 10.7860/JCDR/2016/18700.7661. Epub 2016 Apr 1.
Trocar site herniation is a rare complication following laparoscopic surgery. We report a case of small bowel herniation through 5mm port site following laparoscopic myomectomy. A 36-year-old lady underwent laparoscopic myomectomy. On the fourth postoperative day she developed features of intestinal obstruction. Further evaluation with CT scan showed herniation of a loop of small bowel through the 5mm port site in right iliac fossa. Surgical exploration of the port site revealed a herniated loop of viable small bowel. The enlarged facial defect was closed after reduction of the bowel. Patient recovered uneventfully. Bowel herniation through 5mm port site is a rare complication which requires prompt diagnosis and immediate treatment to avoid morbidity.
套管针穿刺部位疝是腹腔镜手术后一种罕见的并发症。我们报告一例腹腔镜子宫肌瘤切除术后小肠经5毫米穿刺部位疝出的病例。一名36岁女性接受了腹腔镜子宫肌瘤切除术。术后第四天,她出现了肠梗阻的症状。CT扫描进一步检查显示,右髂窝处一个小肠袢经5毫米穿刺部位疝出。对穿刺部位进行手术探查发现一段存活的小肠疝出。将肠管复位后,扩大的腹壁缺损被关闭。患者顺利康复。小肠经5毫米穿刺部位疝出是一种罕见的并发症,需要及时诊断并立即治疗以避免出现并发症。