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.
Ho
A C
AC
The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins Medical Institution, 600 North Wolfe Street, Baltimore, MD, USA.
Horton
K M
KM
Fishman
E K
EK
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