title: Internal hernia through the mesenteric opening after laparoscopy-assisted transverse colectomy.
abstract: 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.
authors.affiliation: Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. Nagata7@aol.com
authors.forename: Koichi
authors.initials: K
authors.lastname: Nagata
authors.forename: Jun-Ichi
authors.initials: J
authors.lastname: Tanaka
authors.forename: Shungo
authors.initials: S
authors.lastname: Endo
authors.forename: Kishiko
authors.initials: K
authors.lastname: Tatsukawa
authors.forename: Eiji
authors.initials: E
authors.lastname: Hidaka
authors.forename: Shin-Ei
authors.initials: SE
authors.lastname: Kudo
mesh_terms: 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