A CASE OF INTERNAL HERNIATION THROUGH THE MESENTERIC OPENING AFTER LAPAROSCOPY-ASSISTED RIGHT COLECTOMY

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  • HIRO Junichiro
    Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine
  • KAWAMOTO Aya
    Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine
  • OHI Masaki
    Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine
  • INOUE Yasuhiro
    Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine
  • MIKI Chikao
    Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine
  • KUSUNOKI Masato
    Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine

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  • 腹腔鏡補助下結腸右半切除後の腸間膜欠損部に生じた腸閉塞の１例

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We report a rare complication in a laparoscopy-assisted-colectomy. A 71-year-old woman underwent laparoscopy-assisted right colectomy for ascending colon cancer. On the 7th postoperative day, she experienced sudden abdominal pain accompanied by vomiting. Laparotomy revealed an internal hernia through the mesenteric defect at the anastomoticsite. Suturing the mesenteric defect is not commonly performed in the operative procedure of laparoscopy-assisted colectomy. However, some cases have been reported where the mesenteric defect caused internal hernia resulting in bowel obstruction. Therefore, our experience might indicate the need for closure of mesenteric opening for the prevention of post operative internal hernia.

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