Abdominal drain causing early small bowel obstruction after laparoscopic colectomy.
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.
Poon
Chi-Ming
CM
Department of Surgery, North District Hospital, Sheung Shui, Hong Kong SAR, China. lamyn@ha.org.hk
Leong
Heng-Tat
HT
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