title: Post-operative internal hernia through an orifice underneath the right common iliac artery after Dargent's operation.
abstract: We report the case of a 39-year-old woman with ileus resulting from a small bowel incarceration underneath the right common iliac artery. The patient had a history of a radical trachelectomy with laparoscopic pelvic lymphadenectomy ("Dargent's operation") for cervical carcinoma. After dissection of the iliac vessels, a small bowel loop could slide underneath the common iliac artery. The hernia was closed by gluing a collagen patch over the right common iliac artery onto the retroperitoneal cavity. To our knowledge, such a case has not previously been reported in the medical literature.
authors.affiliation: Department of General, Visceral and Vascular Surgery, University of Jena, Erlanger Allee 101, 07747, Jena, Germany, Michael.ardelt@med.uni-jena.de.
authors.forename: M
authors.initials: M
authors.lastname: Ardelt
authors.forename: Y
authors.initials: Y
authors.lastname: Dittmar
authors.forename: H
authors.initials: H
authors.lastname: Scheuerlein
authors.forename: E
authors.initials: E
authors.lastname: Bärthel
authors.forename: U
authors.initials: U
authors.lastname: Settmacher
mesh_terms: D000328:Adult; D002584:Cervix Uteri / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006547:Hernia / Q000209:etiology*; D059685:Herniorrhaphy; D006801:Humans; D007083:Iliac Artery; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery; D010535:Laparoscopy; D008197:Lymph Node Excision; D002583:Uterine Cervical Neoplasms / Q000601:surgery*