Internal hernia beneath the obturator nerve after robot-assisted lateral lymph node dissection for rectal cancer: A case report and literature review.
hernia
obturator nerve
rectal cancer
Journal
Asian journal of endoscopic surgery
ISSN: 1758-5910
Titre abrégé: Asian J Endosc Surg
Pays: Japan
ID NLM: 101506753
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
21
01
2020
revised:
19
02
2020
accepted:
24
02
2020
pubmed:
18
3
2020
medline:
19
8
2021
entrez:
18
3
2020
Statut:
ppublish
Résumé
A 63-year-old man who underwent robot-assisted laparoscopic low anterior resection and right lateral lymph node dissection (LLND) for rectal cancer presented with right thigh pain, nausea, vomiting, and abdominal pain on postoperative day 17. CT revealed dilated small bowel in the pelvis, and a small bowel loop was detected outside the internal iliac artery branch. Emergent laparoscopic surgery revealed the migration of the small bowel into the space beneath the right obturator nerve. The herniated bowel was reduced, and the obturator nerve was sharply dissected from the herniated bowel and preserved. The hernial orifice was left unrepaired. Postoperative recovery was uneventful, and the right thigh pain disappeared. It is important to consider the possibility of internal herniation beneath the obturator nerve after minimally invasive lateral lymph node dissection for rectal cancer.
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
578-581Informations de copyright
© 2020 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd.
Références
Guba AM Jr, Lough F, Collins GJ, Feaster M, Rich NM. Iatrogenic internal hernia involving the iliac artery. Ann Surg. 1978;188(1):49-52.
Kim KM, Kim CH, Cho MK, et al. A strangulated internal hernia behind the external iliac artery after a laparoscopic pelvic lymphadenectomy. Surg Laparosc Endosc Percutan Tech. 2008;18(4):417-419.
Dumont KA, Wexels JC. Laparoscopic management of a strangulated internal hernia underneath the left external iliac artery. Int J Surg Case Rep. 2013;4(11):1041-1043.
Ardelt M, Dittmar Y, Scheuerlein H, Bärthel E, Settmacher U. Post-operative internal hernia through an orifice underneath the right common iliac artery after Dargent's operation. Hernia. 2014;18(6):907-909.
Pridjian A, Myrick S, Zeltser I. Strangulated internal hernia behind the common iliac artery following pelvic lymph node dissection. Urology. 2015;86(5):e23-e24.
Viktorin-Baier P, Randazzo M, Medugno C, John H. Internal hernia underneath an elongated external iliac artery: a complication after extended pelvic lymphadenectomy and robotic-assisted laparoscopic prostatectomy. Urol Case Rep. 2016;8:9-11.
Minami H, Nagasaki T, Akiyoshi T, et al. Laparoscopic repair of bowel herniation into the space between the obturator nerve and the umbilical artery after pelvic lymphadenectomy for cervical cancer. Asian J Endosc Surg. 2018;11(4):409-412.
Kambiz K, Lepis G, Khoury P. Internal hernia secondary to robotic assisted laparoscopic prostatectomy and extended pelvic lymphadenectomy with skeletonization of the external iliac artery. Urol Case Rep. 2018;21:47-49.
Ninomiya S, Amano S, Ogawa T, et al. Internal hernia beneath the left external iliac artery after robotic-assisted laparoscopic prostatectomy with extended pelvic lymph node dissection: a case report. Surg Case Rep. 2019;5(1):49.
Stommel MWJ, Ten Broek RPG, Strik C, et al. Multicenter observational study of adhesion formation after open-and laparoscopic surgery for colorectal cancer. Ann Surg. 2018;267(4):743-748.