Incarcerated Retroperitoneal Hernia Following Total Extraperitoneal Laparoscopic Radical Nephrectomy
| Autor: | Heath Dorion, Daniel J Ricchiuti, Igor Milosevic |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Hernia Fossa Exploratory laparotomy medicine.medical_treatment Laparoscopic radical nephrectomy Case Reports Nephrectomy Jejunum medicine Humans Retroperitoneal Space Carcinoma Renal Cell Perineal hernia Laparotomy biology business.industry digestive oral and skin physiology Small bowel obstruction Imaging study Middle Aged biology.organism_classification medicine.disease digestive system diseases Kidney Neoplasms Surgery Bowel obstruction surgical procedures operative medicine.anatomical_structure Laparoscopy business Intestinal Obstruction Dilatation Pathologic |
| Zdroj: | JSLS : Journal of the Society of Laparoendoscopic Surgeons |
| ISSN: | 1938-3797 1086-8089 |
| DOI: | 10.4293/108680811x13125733357115 |
| Popis: | This is a case report of an early high-grade small bowel obstruction due to a retroperitoneal hernia following laparoscopic radical nephrectomy. General and urologic surgeons should become familiar with the complications of these newer interventions. Small bowel obstruction (SBO) is a common entity encountered in surgical patients. The most common causes of the SBO range from postoperative adhesions to cancer. We present the case of a 55-year-old male who underwent a laparoscopic left radical nephrectomy and presented with an early SBO. An imaging study revealed an obstructive pattern with proximal dilated jejunum with decompressed distal small bowel. The patient underwent an exploratory laparotomy with extensive lysis of adhesions and release/resection of a long segment of incarcerated jejunum from an 8-cm retroperitoneal hernia in the left renal fossa. The patient was discharged home, and at 3-month follow-up no bowel complaints were reported. |
| Databáze: | OpenAIRE |
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