Abstract
A 58-year-old woman underwent laparoscopy-assisted transverse colectomy for transverse colon cancer. On postoperative day 7, she experienced sudden abdominal pain accompanied by vomiting and fever. Computed tomography showed a small bowel obstruction caused by an internal hernia. Laparotomy revealed an internal hernia through the mesenteric defect at the anastomotic colonic stumps, which had not been closed in the previous operation. Almost the entire small bowel protruding through the mesenteric defect was found in the omental bursa. We resected part of the jejunal loop, which was strangulated and congested by an adherent band. Our experience suggests that if the mesenteric defect is relatively small, it should be closed completely during laparoscopy-assisted colectomy; however, more studies are required to determine the indications for closure of the mesenteric defect to prevent this complication.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
W Schwenk O Haase J Neudecker JM Muller (2005) ArticleTitleShort term benefits for laparoscopic colorectal resection Cochrane Database Syst Rev 20 CD003145
NS Abraham JM Young MJ Solomon (2004) ArticleTitleMeta-analysis of short-term outcomes after laparoscopic resection for colorectal cancer Br J Surg 91 1111–24 Occurrence Handle15449261 Occurrence Handle10.1002/bjs.4640 Occurrence Handle1:STN:280:DC%2BD2cvnvFSmuw%3D%3D
M Braga M Frasson A Vignali W Zuliani V Civelli V Di Carlo (2005) ArticleTitleLaparoscopic vs. open colectomy in cancer patients: long-term complications, quality of life, and survival Dis Colon Rectum 48 2217–23 Occurrence Handle16228828 Occurrence Handle10.1007/s10350-005-0185-7
InstitutionalAuthorNameClinical Outcomes of Surgical Therapy Study Group (2004) ArticleTitleA comparison of laparoscopically assisted and open colectomy for colon cancer N Engl J Med 350 2050–9 Occurrence Handle10.1056/NEJMoa032651
M Braga A Vignali L Gianotti W Zuliani G Radaelli P Gruarin et al. (2002) ArticleTitleLaparoscopic versus open colorectal surgery: a randomized trial on short-term outcome Ann Surg 236 759–67 Occurrence Handle12454514 Occurrence Handle10.1097/00000658-200212000-00008
KS Venkatesh N Morrison DM Larson P Ramanujam (1993) ArticleTitleTriangulating stapling technique: an alternative approach to colorectal anastomosis Dis Colon Rectum 36 73–6 Occurrence Handle8416783 Occurrence Handle10.1007/BF02050306 Occurrence Handle1:STN:280:ByyC3crnsVM%3D
RF Hwang DE Swartz EL Felix (2004) ArticleTitleCauses of small bowel obstruction after laparoscopic gastric bypass Surg Endosc 18 1631–5 Occurrence Handle15931476 Occurrence Handle10.1007/s00464-004-8804-2 Occurrence Handle1:STN:280:DC%2BD2MrmtFejug%3D%3D
E Garza SuffixJr J Kuhn D Arnold W Nicholson S Reddy T McCarty (2004) ArticleTitleInternal hernias after laparoscopic Roux-en-Y gastric bypass Am J Surg 188 796–800 Occurrence Handle15619502 Occurrence Handle10.1016/j.amjsurg.2004.08.049
A Eckhauser A Torquati Y Youssef JL Kaiser WO Richards (2006) ArticleTitleInternal hernia: postoperative complication of roux-en-Y gastric bypass surgery Am Surg 72 581–5 Occurrence Handle16875078
KD Higa T Ho KB Boone (2003) ArticleTitleInternal hernias after laparoscopic Roux-en-Y gastric bypass: incidence, treatment and prevention Obes Surg 13 350–4 Occurrence Handle12841892 Occurrence Handle10.1381/096089203765887642
KY Kok SS Ngoi CK Kum Y Tekant I Tasci P Goh (1996) ArticleTitleLaparoscopic-assisted large bowel resection Ann Acad Med Singapore 25 650–2 Occurrence Handle8923997 Occurrence Handle1:STN:280:ByiD1c3ns1U%3D
A Elio E Veronese F Frigo C Residori S Salvato F Orcalli (1998) ArticleTitleIleal volvulus on internal hernia following left laparoscopic-assisted hemicolectomy Surg Laparosc Endosc 8 477–8 Occurrence Handle9864119 Occurrence Handle10.1097/00019509-199812000-00016 Occurrence Handle1:STN:280:DyaK1M%2FnvFyhsQ%3D%3D
YJ Kawamura E Sunami T Masaki T Muto (1999) ArticleTitleTransmesenteric hernia after laparoscopic-assisted sigmoid colectomy J Soc Laparosc Surg 3 79–81 Occurrence Handle1:STN:280:DyaK1M3lsVOmtw%3D%3D
K Nagata J Tanaka S Endo K Tatsukawa E Hidaka SE Kudo (2005) ArticleTitleInternal hernia through the mesenteric opening after laparoscopy-assisted transverse colectomy Surg Laparosc Endosc Percutan Tech 15 177–9 Occurrence Handle15956907 Occurrence Handle10.1097/01.sle.0000166969.38972.fa
LC Martin EM Merkle WM Thompson (2006) ArticleTitleReview of internal hernias: radiographic and clinical findings AJR Am J Roentgenol 186 703–17 Occurrence Handle16498098 Occurrence Handle10.2214/AJR.05.0644
JM Velasco VL Vallina SR Bonomo TJ Hieken (1998) ArticleTitlePostlaparoscopic small bowel obstruction. Rethinking its management Surg Endosc 12 1043–5 Occurrence Handle9685539 Occurrence Handle10.1007/s004649900777 Occurrence Handle1:STN:280:DyaK1czls1eksQ%3D%3D
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hosono, S., Ohtani, H., Arimoto, Y. et al. Internal Hernia with Strangulation Through a Mesenteric Defect After Laparoscopy-Assisted Transverse Colectomy: Report of a Case. Surg Today 37, 330–334 (2007). https://doi.org/10.1007/s00595-006-3405-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00595-006-3405-4