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Case Reports
. 2017 May 22;2017(5):rjw217.
doi: 10.1093/jscr/rjw217. eCollection 2017 May.

Internal hernia after laparoscopic right hemicolectomy, report of a case

Hiroki Sugita  1 , Takahiko Akiyama  1 , Naoya Daitoku  1 , Rumiko Tashima  1 , Hiroshi Tanaka  1 , Shinobu Honda  1 , Tetsumasa Arita  1 , Yasushi Yagi  1 , Masahiko Hirota  1
Affiliations
Case Reports

Internal hernia after laparoscopic right hemicolectomy, report of a case

Hiroki Sugita et al. J Surg Case Rep. .

Abstract

Mesenteric defects are often not closed in laparoscopic colectomy. We herein report a case of an internal hernia projecting through a mesenteric defect following laparoscopy-assisted right hemicolectomy. A 74-year-old woman was hospitalized for the surgical treatment of double colon cancer. Preoperative colonoscopy demonstrated the presence of ascending colon and transverse colon cancers. A laparoscopic-assisted right hemicolectomy was performed. The mesenteric defect resulting from the colectomy was not closed. Three months after the surgery, the patient developed a bowel obstruction. Under a diagnosis of strangulated bowel obstruction, we performed a laparotomy, and found a necrotic small bowel, which had passed into the bursa omentalis through the mesenteric defect. We removed the necrotic small bowel and closed the mesenteric defect by suturing. The patient's postoperative course was uneventful. An internal hernia projecting through a mesenteric defect following laparoscopy-assisted right hemicolectomy developed a severe strangulated bowel obstruction.

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Figures

Figure 1:
Figure 1:
Preoperative CT scan revealed an internal hernia (arrow).
Figure 2:
Figure 2:
A picture of the resected strangulated small intestine.
See this image and copyright information in PMC

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