Closed loop obstruction and adhesive intestinal obstruction in perineal hernia.
BMJ Case Rep
; 13(12)2020 Dec 28.
Article
em En
| MEDLINE
| ID: mdl-33372017
ABSTRACT
Perineal hernia with bowel gangrene is uncommon but known complication of laparoscopic extralevator abdominoperineal excision (ELAPE). We present a rare case of closed loop small bowel obstruction with bowel gangrene secondary to an incarcerated perineal hernia that developed 7 years after an ELAPE. Intraoperatively, we found a definitive transition point due to adhesions in pelvis and a closed loop obstruction of the distal small bowel at different site with gangrenous intestine. She was managed successfully surgically with adhesiolysis and fixation of defect with biological mesh. Prevalence of perineal hernias will rise in future because of the increasing cases of ELAPE, in which no repair of pelvic floor is performed. The need of follow-up of these operations and more reporting of such cases are important in increasing awareness of these complications. Patients should be made aware of such complications and should seek urgent medical care.
Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Períneo
/
Aderências Teciduais
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Laparoscopia
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Protectomia
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Hérnia
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Obstrução Intestinal
Tipo de estudo:
Risk_factors_studies
Limite:
Aged80
/
Female
/
Humans
Idioma:
En
Revista:
BMJ Case Rep
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Reino Unido