Small bowel obstruction following laparoscopic cholecystectomy: diagnosis of incisional hernia by computed tomography.
As laparoscopic cholecystectomy has become the procedure of choice for symptomatic gallstones, specific complication related to this technique have been noted. We report a case of small bowel obstruction in the trocar puncture site following uneventful laparoscopic cholecystectomy in an extremely obese woman. Diagnosis was made by computed tomography, and reduction was possible by local approach, avoiding explorative laparotomy.
Kopelman
D
D
Department of Surgery B, Rambam Medical Center, Haifa, Israel.
Schein
M
M
Assalia
A
A
Hashmonai
M
M
D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D002769:Cholelithiasis / Q000150:complications / Q000601:surgery; D005260:Female; D006555:Hernia, Ventral / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D007421:Intestine, Small / Q000000981:diagnostic imaging* / Q000601:surgery; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D014057:Tomography, X-Ray Computed