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Post-operative internal hernia through an orifice underneath the right common iliac artery after Dargent’s operation

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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.

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Conflict of interest

The authors AM, YD, EB, HS, and US declare no conflict of interest.

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Correspondence to M. Ardelt.

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Ardelt, M., Dittmar, Y., Scheuerlein, H. et al. Post-operative internal hernia through an orifice underneath the right common iliac artery after Dargent’s operation. Hernia 18, 907–909 (2014).

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