James Mathews, Senthil G, Kalayarasan R, Pottakkat Biju
Department of Surgical Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
J Minim Access Surg. 2021 Oct-Dec;17(4):559-561. doi: 10.4103/jmas.JMAS_221_20.
Drain site eviscerations have been reported as a rare complication following abdominal surgery. An 82-year-old women was diagnosed with carcinoma stomach and underwent laparoscopic subtotal gastrectomy. A few hours following removal of the duodenal stump drain, she developed small bowel evisceration through the drain site. It was successfully managed with immediate bedside release of fascial constriction followed by definitive repair later. Although herniations and eviscerations via larger drain sites have been reported, eviscerations from small laparoscopic port sites used for drains are rare. Here, we report the first case of small bowel evisceration with strangulation through a 5-mm port site.
引流部位脏器脱出已被报道为腹部手术后一种罕见的并发症。一名82岁女性被诊断为胃癌并接受了腹腔镜胃次全切除术。十二指肠残端引流管拔除后数小时，她经引流部位出现小肠脏器脱出。通过立即在床边松解筋膜压迫，随后进行确定性修复，成功处理了该情况。尽管通过较大引流部位发生的疝和脏器脱出已有报道，但经用于引流的小腹腔镜端口部位发生的脏器脱出却很罕见。在此，我们报告首例经5毫米端口部位发生绞窄性小肠脏器脱出的病例。
