Abstract
A case is reported of partial small bowel obstruction secondary to anterior peritoneal adhesions which resulted in inadvertent trocar perforation of the small bowel at laparoscopic cholecystectomy. Careful assessment of computed tomographic examinations performed for acute abdominal complaints should include diagnosis of lower grades of small bowel obstruction from peritoneal adhesive disease. Laparoscopic surgeons should be apprised of peritoneal adhesions of bowel at usual sites of needle or trocar puncture.
Similar content being viewed by others
References
Caputo L, Aitken DR, Mackett MCT, Robles AE. Iatrogenic bile duct injuries: the real incidence and contributing factors—implications for laparoscopic cholecystectomy. Am Surg 1992;58:766–71.
Soper NJ, Stockmann PT, Dunnegan DL, Ashley SW. Laparoscopic cholecystectomy: the new “gold standard”? Arch Surg 1992;127:917–23.
Maglinte DDT, Herlinger H, Turner W Jr, Kelvin FM. Radiologic management of small bowel obstruction: a practical approach. Emerg Radiol 1994;1:138–49.
Megibow AJ, Balthazar EJ, Cho KC, et al. Bowel obstruction: evaluation with CT. Radiology 1991;180:313–8.
Fukuya T, Hawes DR, Lu CC, Chang PJ, Barloon TJ. CT diagnosis of small bowel obstruction: efficacy in 60 patients. AJR Am J Roentgenol 1992;158:765–72.
Gazelle GS, Goldberg MA, Wittenberg J, Halpern EF, Pinkney L, Mueller PR. Efficacy of CT in distinguishing small-bowel obstruction from other causes of small-bowel dilatation. AJR Am J Roentgenol 1994;162:43–7.
Maglinte DDT, Gage SN, Harmon BH, Kelvin FM, Hage JP, Chua GT, et al. Obstruction of the small intestine: accuracy and role of CT in diagnosis. Radiology 1993;188:61–4.
Memel DS, Berland LL. CT of bowel obstruction: interpretation using cine-paging [Letter]. AJR Am J Roentgenol 1995;164:766–7.
Nord HJ. Complications of laparoscopy. Endoscopy 1992;24:693–700.
Lee VS, Chari RS, Cucchiaro G, Meyers WC. Complications of laparoscopic cholecystectomy. Am J Surg 1993;165:527–32.
Wongworawat MD, Aitken DR, Robles AE, Garberoglio C. The impact of prior intra-abdominal surgery on laparoscopic cholecystectomy. Am Surg 1994;60:763–6.
Hasson HM. Window for open laparoscopy. Am J Obstet Gynecol 1980;137:869–70.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Maglinte, D.D.T., Reyes, B.L. Computed tomographic diagnosis of partial small bowel obstruction secondary to anterior peritoneal adhesions: relevance to laparoscopic cholecystectomy. Emergency Radiology 3, 84–86 (1996). https://doi.org/10.1007/BF01507938
Issue Date:
DOI: https://doi.org/10.1007/BF01507938