Perforation of the small bowel as a complication of laparoscopic cholecystectomy: CT findings.
Despite the widespread use of laparoscopic cholecystectomy, technical complications unique to the laparoscopic approach may lead to significant postoperative morbidity and mortality. We report a rare case of small bowel perforation due to trocar injury that led to extensive pneumoperitoneum and pneumomediastinum in a patient who underwent laparoscopic cholecystectomy. Small bowel injuries should be suspected when a large or an increasing amount of free air is detected following this procedure.
The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins Medical Institution, 600 North Wolfe Street, Baltimore, MD, USA.
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D000328:Adult; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D002769:Cholelithiasis / Q000601:surgery*; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000000981:diagnostic imaging* / Q000209:etiology*; D007421:Intestine, Small / Q000293:injuries*; D008478:Mediastinal Emphysema / Q000000981:diagnostic imaging / Q000209:etiology; D011027:Pneumoperitoneum / Q000000981:diagnostic imaging / Q000209:etiology; D014057:Tomography, X-Ray Computed