Internal hernia caused by exposed structures after laparoscopic lateral lymph node dissection for rectal cancer: A case report.
Asian J Endosc Surg
; 16(3): 591-594, 2023 Jul.
Article
em En
| MEDLINE
| ID: mdl-37088466
ABSTRACT
Internal hernias secondary to exposed structures after lateral lymph node dissection (LLND) for rectal cancer are rare. A 53-year-old man who underwent laparoscopic ultra-low anterior resection and bilateral LND presented to our emergency department with sudden-onset severe abdominal pain and vomiting. Computed tomography demonstrated a closed loop obstruction of the intestine in the right lateral pelvic cavity and a significantly dilated small bowel in the abdominal cavity. Laparoscopic surgery revealed small bowel migration into the space between the right ureter and umbilical artery. The herniated bowel was laparoscopically reduced, and the small bowel exhibited no ischemic changes. Meanwhile, the hernial orifice was left unrepaired. The patient was discharged on the seventh postoperative day without complications. An internal hernia caused by exposed structures after lymphadenectomy should be a differential diagnosis in patients who have undergone LLND for rectal cancer and then present with severe abdominal pain and vomiting.
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Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Retais
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Hérnia Interna
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Excisão de Linfonodo
Limite:
Humans
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Male
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Middle aged
Idioma:
En
Revista:
Asian J Endosc Surg
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Índia