Internal hernia through the mesenteric opening after laparoscopy-assisted transverse colectomy.
We report a case of a rare complication in laparoscopic colectomy. A 55-year-old woman underwent a laparoscopy-assisted transverse colectomy for transverse colon cancer. On the 5th postoperative day, she developed bowel obstruction. Decompression by a long intestinal tube failed to resolve the bowel obstruction. She underwent operative intervention. Abdominal exploration showed jejunal loop caused by a strangulation forming on an internal hernia through the mesenteric opening at the anastomotic colonic stumps, which had not been sutured during the previous operation. Our experience might indicate the need for closure of small mesenteric opening after laparoscopic colectomy.
Nagata
Koichi
K
Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. Nagata7@aol.com
Tanaka
Jun-Ichi
J
Endo
Shungo
S
Tatsukawa
Kishiko
K
Hidaka
Eiji
E
Kudo
Shin-Ei
SE
D003082:Colectomy / Q000009:adverse effects* / Q000379:methods; D003110:Colonic Neoplasms / Q000601:surgery; D005260:Female; D006547:Hernia / Q000209:etiology*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology; D007579:Jejunal Diseases / Q000209:etiology; D010535:Laparoscopy; D008643:Mesentery; D008875:Middle Aged