A strangulated internal hernia behind the external iliac artery after a laparoscopic pelvic lymphadenectomy.
An internal hernia associated with intra-abdominal blood vessels after a pelvic lymphadenectomy is very rare; to our knowledge, only 1 case has been reported to date. We report a case of a strangulated internal hernia of the small bowel behind the external iliac artery that occurred 3 months after a laparoscopic pelvic lymphadenectomy in a patient with cervical cancer. Retroperitonealization after the pelvic lymphadenectomy should be considered in patients with tortuous, elongated external iliac arteries that could be causal lesions of an internal hernia.
Kim
Ki Min
KM
Department of Obstetrics and Gynecology, Chonnam National University Medical School, Gwangju, Korea.
Kim
Cheol Hong
CH
Cho
Moon Kyoung
MK
Jeong
Yong Yeon
YY
Kim
Yoon Ha
YH
Choi
Ho Sun
HS
Kim
Seok Mo
SM
D000368:Aged; D005260:Female; D005734:Gangrene / Q000209:etiology / Q000473:pathology / Q000601:surgery; D006555:Hernia, Ventral / Q000209:etiology* / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D007083:Iliac Artery; D010535:Laparoscopy / Q000009:adverse effects*; D008197:Lymph Node Excision / Q000009:adverse effects*; D010388:Pelvis; D002583:Uterine Cervical Neoplasms / Q000601:surgery*