Small bowel incarceration as a complication of port site drainage following laparoscopic hysterectomy

Saša R Ljuština; Radmila M Sparić; Sanja M Novaković; Snežana N Buzadžić

doi:10.2298/4517

Saša R Ljuština Clinic for Obstetrics and Gynecology Clinical Center of Serbia Belgrade, Serbia
Radmila M Sparić Clinic for Obstetrics and Gynecology Clinical Center of Serbia Belgrade, Serbia
Sanja M Novaković Department for Gynecology, Military Medical Academy, Belgrade, Serbia
Snežana N Buzadžić Clinic for Obstetrics and Gynecology Clinical Center of Serbia Belgrade, Serbia

DOI: https://doi.org/10.2298/4517

Keywords: drainage, hysterectomy, laparoscopy, postoperative period, hernia, intestine, small, abdominal wall,

Abstract

Introduction. Indication for surgical drainage may be prophylactic or therapeutic. However, surgical drains may cause complications. These complications can arise either following laparoscopic or open surgery. One of the rare complications resulting from drainage includes herniation of abdominal viscera at the drain site. The most common herniated abdominal organ is the small bowel. Case report. A 75-year-old woman underwent laparoscopic hysterectomy for atypical endometrial hyperplasia. After the operation, she developed small bowel herniation in the abdominal wall at the drain site, which was confirmed by multislice computed tomography. The patient underwent emergency relaparotomy that identified drain site incarceration of an ileal loop. Following resection of the incarcerated bowel, her postoperative recovery was uneventful. Conclusion. This case presents rare causative mechanism of intestinal obstruction. The possible occurrence of hernias following surgical drainage must be kept in mind.

Author Biographies

Saša R Ljuština, Clinic for Obstetrics and Gynecology Clinical Center of Serbia Belgrade, Serbia

NONE

Radmila M Sparić, Clinic for Obstetrics and Gynecology Clinical Center of Serbia Belgrade, Serbia

NONE

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