title: Internal hernia through a transverse mesocolon defect after laparoscopic distal pancreatectomy: Report of a case.
abstract: We report a case of an internal hernia through a transverse mesocolon defect after laparoscopic distal pancreatectomy. The patient was a 58-year-old man with an intraductal papillary mucinous neoplasm of the pancreatic body who underwent laparoscopic distal pancreatectomy. During surgery, an approximately 5-cm defect in the transverse mesocolon was inadvertently made. The defect was not closed as it was thought to be large enough to preclude incarceration. However, the patient developed a bowel obstruction 2 months postoperatively. Laparotomy revealed that a loop of the proximal jejunum herniated through the defect and was adherent to the stapled pancreatic stump. An additional loop of the jejunum was herniated through the narrowed mesenteric defect. To our knowledge, this is the first case of an internal hernia through a transverse mesocolon defect after laparoscopic distal pancreatectomy.
authors.affiliation: Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Yoshihide
authors.initials: Y
authors.lastname: Nanno
authors.affiliation: Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Tadahiro
authors.initials: T
authors.lastname: Goto
authors.affiliation: Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Hirochika
authors.initials: H
authors.lastname: Toyama
authors.affiliation: Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Sadaki
authors.initials: S
authors.lastname: Asari
authors.affiliation: Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Sachio
authors.initials: S
authors.lastname: Terai
authors.affiliation: Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Sachiyo
authors.initials: S
authors.lastname: Shirakawa
authors.affiliation: Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Takuya
authors.initials: T
authors.lastname: Mizumoto
authors.affiliation: Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Ueda
authors.affiliation: Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Kido
authors.affiliation: Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Ajiki
authors.affiliation: Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Takumi
authors.initials: T
authors.lastname: Fukumoto
authors.affiliation: Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Yonson
authors.initials: Y
authors.lastname: Ku
mesh_terms: D021441:Carcinoma, Pancreatic Ductal / Q000601:surgery*; D046449:Hernia, Abdominal / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008646:Mesocolon / Q000293:injuries*; D008875:Middle Aged; D010180:Pancreatectomy / Q000009:adverse effects*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery
keywords: Hernia; pancreatectomy; postoperative complications