Internal Hernia Underneath an Elongated External Iliac Artery: A Complication After Extended Pelvic Lymphadenectomy and Robotic-assisted Laparoscopic Prostatectomy

Autor: Pascal Viktorin-Baier, Marco Randazzo, Cristoforo Medugno, Hubert John
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Urology Case Reports, Vol 8, Iss C, Pp 9-11 (2016)
Druh dokumentu: article
ISSN: 2214-4420
DOI: 10.1016/j.eucr.2016.05.003
Popis: Small bowel herniation underneath the iliac vessel after transperitoneal pelvic lymphadenectomy is a rare complication. This report describes the first case of bowel incarceration behind the external iliac artery after transperitoneal robotic-assisted radical prostatectomy with extended lymph node dissection in a patient with prostate cancer 1 year after surgery. After diagnosis on CT scan, an open resection of the ischemic bowel was performed. Because of thrombosis, the external iliac artery was opened, the clot was removed and the elongated artery was resected with end-to-end anastomosis. In case of a meandering iliac artery, a retroperitonealization after pelvic lymphadenectomy might be discussed.
Databáze: Directory of Open Access Journals