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Case Reports
. 2017 Aug;10(3):163-165.
doi: 10.1159/000447174. Epub 2017 Jul 30.

Abdominal Mass After Robotic Assisted Laparoscopic Prostatectomy: Spigelian Type Trocar Hernia

Seyed Behzad Jazayeri  1 , Johnson F Tsui  1 , David B Samadi  1
Affiliations
Case Reports

Abdominal Mass After Robotic Assisted Laparoscopic Prostatectomy: Spigelian Type Trocar Hernia

Seyed Behzad Jazayeri et al. Curr Urol. 2017 Aug.

Abstract

Prostate cancer is the most common cancer in men. Men are diagnosed at early stages of prostate cancer with the use of prostate specific antigen. Surgical removal of the prostate is the standard treatment in localized prostate cancer. Complications after surgical procedures are inevitable. Although robotic prostatectomy has resulted in decreased complications compared to open surgery, complications occur. After an uneventful robotic assisted laparoscopic prostatectomy in a 71-year-old gentleman, with history of chronic cough and continued low dose glucocorticoid use, the patient returned to hospital with complain of a tender abdominal mass in right lower quadrant. After performing a computed tomography of the contrast, a Spigelian type trocar hernia was noted. The patient underwent a laparoscopic diagnostic surgery followed by small bowel resection and abdominal wall defect repair. The patient was discharged home with no other complains.

Keywords: Hernia; Prostate cancer; Robotic Surgery; Spigelian; Trocar.

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Figures

Fig. 1
Fig. 1
CT of the patient with intravenous contrast injection in sagittal, axial and coronal view.
See this image and copyright information in PMC

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