Strangulated Bowel Obstruction Caused by Bowel Migration into the Space between the Exposed Structures after Pelvic Lymphadenectomy for Cervical Cancer

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  • Minami Hironori
    Gastroenterological Center, Department of Gastroenterological Surgery, Cancer Institute Hospital, Japanese ‍Foundation for Cancer Research
  • Nagasaki Toshiya
    Gastroenterological Center, Department of Gastroenterological Surgery, Cancer Institute Hospital, Japanese ‍Foundation for Cancer Research
  • Fukuoka Hironori
    Gastroenterological Center, Department of Gastroenterological Surgery, Cancer Institute Hospital, Japanese ‍Foundation for Cancer Research
  • Akiyoshi Takashi
    Gastroenterological Center, Department of Gastroenterological Surgery, Cancer Institute Hospital, Japanese ‍Foundation for Cancer Research
  • Konishi Tsuyoshi
    Gastroenterological Center, Department of Gastroenterological Surgery, Cancer Institute Hospital, Japanese ‍Foundation for Cancer Research
  • Fujimoto Yoshiya
    Gastroenterological Center, Department of Gastroenterological Surgery, Cancer Institute Hospital, Japanese ‍Foundation for Cancer Research
  • Nagayama Satoshi
    Gastroenterological Center, Department of Gastroenterological Surgery, Cancer Institute Hospital, Japanese ‍Foundation for Cancer Research
  • Fukunaga Yosuke
    Gastroenterological Center, Department of Gastroenterological Surgery, Cancer Institute Hospital, Japanese ‍Foundation for Cancer Research
  • Ueno Masashi
    Gastroenterological Center, Department of Gastroenterological Surgery, Cancer Institute Hospital, Japanese ‍Foundation for Cancer Research

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  • 婦人科骨盤内リンパ節郭清後の露出脈管による絞扼性イレウスの1例

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<p>A 49-year-old woman, with a history of extended hysterectomy and pelvic lymphadenectomy for stage IVB cervical cancer after preoperative chemotherapy, presented with abdominal pain during the course of postoperative chemoradiotherapy. Enhanced CT showed a strangulated loop of the small bowel below the right external iliac artery, for which emergency open surgery was performed. Intraoperative findings revealed that the small bowel had herniated into the space between the right external iliac artery, right ureter, and right umbilical artery. The strangulated small bowel had become ischemic and the small bowel was resected without injury to the structures that were exposed by prior pelvic lymphadenectomy. Here, we describe our experience with a case of small bowel strangulation caused by migration of the intestine into the space after pelvic lymphadenectomy, with a review of previous literature describing similar cases.</p>

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