title: Abdominal drain causing early small bowel obstruction after laparoscopic colectomy.
abstract: We report a rare drain-related complication leading to small bowel obstruction after laparoscopic colectomy. An 82-year-old man developed small bowel obstruction on the second day after laparoscopic anterior resection. Emergency relaparoscopy found herniation of the small bowel mesentery into the side holes of the silicon intraabdominal drain, which led to a 90-degree acute turn of the small bowel and mechanical obstruction. The herniation was reduced, and the drain was removed laparoscopically.
authors.affiliation: Department of Surgery, North District Hospital, Sheung Shui, Hong Kong SAR, China. lamyn@ha.org.hk
authors.forename: Chi-Ming
authors.initials: CM
authors.lastname: Poon
authors.forename: Heng-Tat
authors.initials: HT
authors.lastname: Leong
mesh_terms: D000369:Aged, 80 and over; D003082:Colectomy / Q000379:methods*; D004322:Drainage / Q000009:adverse effects* / Q000295:instrumentation; D046449:Hernia, Abdominal / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small; D010535:Laparoscopy / Q000379:methods*; D008297:Male