Small-bowel obstruction due to hernia through the primary laparoscopic port: a complication of laparoscopic cholecystectomy.

1994 ◽  
Vol 163 (2) ◽  
pp. 480-481 ◽  
Author(s):  
V L Schiller ◽  
P W Joyce ◽  
D A Sarti
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Laparoscopic Port

scholarly journals Free Intraperitoneal Gallstone: An Unusual Case of Small Bowel Obstruction from Extrinsic Compression

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Kor Woi Tiang ◽  
Hang Fai So ◽  
Yang Hwang ◽  
Manjunath Siddaiah-Subramanya
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Unusual Case ◽  
Late Complications ◽  
Distal Ileum ◽  
Extrinsic Compression ◽  
Laparoscopic Drainage ◽  
Gallstone Spillage

Laparoscopic cholecystectomy (LC) is preferred in the treatment of symptomatic cholecystolithiasis. Gallstone spillage is not uncommon, and there have been reports of associated complications. We report a case of a free intraperitoneal gallstone, left inadvertently during LC, which developed an inflammatory phlegmon with abscess containing gallstone, causing extraluminal compression on the distal ileum, resulting in small bowel obstruction. This complication in particular is almost unheard of. The patient underwent laparoscopic drainage of abscess and retrieval of gallstone, which relieved the obstruction. Clinicians, therefore, need to keep an open mind in the workup for bowel obstruction. During LC, gallstone spillage should be prevented and retrieved whenever possible to minimize early and late complications associated with it.

Falciform Ligament Hernia after Laparoscopic Cholecystectomy: A Rare Case and Review of the Literature

2005 ◽  
Vol 71 (4) ◽  
pp. 359-361 ◽  
Author(s):  
Anthony Charles ◽  
Almaas A. Shaikh ◽  
Shirley Domingo ◽  
Edward Kreske
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
White Male ◽  
Exploratory Laparotomy ◽  
Free Edge ◽  
Falciform Ligament ◽  
Port Placement ◽  
Hida Scan

The occurrence of an internal hernia through a congenital or iatrogenic defect in the falciform ligament is extremely rare. In the era of minimally invasive surgery, we present an unusual case of small bowel obstruction after laparoscopic cholecystectomy. An 85-year-old white male presented to the emergency room 2 weeks after an uneventful cholecystectomy and complaining of a colicky, nonradiating right upper quadrant abdominal pain. Hydroxyiminodiacetic acid (HIDA) scan and endoscopic retrograde cholangiopancreatography (ERCP) performed revealed an open ductal system. Abdominal computed tomography (CT) scan was suggestive of a high-grade small bowel obstruction. Exploratory laparotomy revealed a herniated loop of distal ileum, passing from right to left through a defect in the falciform ligament created by the subxyphoid trochar. The surgeon should consider dividing the inferior leaf of the free edge of the falciform ligament, including the round ligament, should an aperture be created during laparoscopic port placement.

Hernia at 5-mm Laparoscopic Port Site Presenting as Early Postoperative Small Bowel Obstruction

1999 ◽  
Vol 9 (6) ◽  
pp. 523-525 ◽  
Author(s):  
PATRICK R. REARDON ◽  
ALFONSO PRECIADO ◽  
TERRY SCARBOROUGH ◽  
BRENT MATTHEWS ◽  
JUAN L. MARTI
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Port Site ◽  
Laparoscopic Port ◽  
Postoperative Small Bowel Obstruction

scholarly journals Small bowel obstruction due to phytobezoar and adhesions following laparoscopic cholecystectomy

2015 ◽  
Vol 3 (2) ◽  
pp. 63
Author(s):  
Nidal Abu jkeim ◽  
Ahmad Al hazmi ◽  
Awad Alawad ◽  
Rashid Ibrahim ◽  
Ahmad Abu damis ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Abdominal Radiograph ◽  
Plain Abdominal Radiograph ◽  
History Of ◽  
Metallic Clip ◽  
Fluid Levels ◽  
Gallbladder Fossa

<p>We report a case of 51 –year-old female with history of laparoscopic cholecystectomy presented with abdominal pain and diagnosed as small bowel obstruction caused by adhesions. The initial presentation was periumbilical pain with nausea and vomiting. Plain abdominal radiograph showed dilated small bowel loops and multiple air fluid levels. Due to failure of conservative treatment, laparotomy was performed. An open metallic clip was adhering the bowel to the gallbladder fossa causing sharp angulation. A phytobezoar proximal to this angulation was exteriorized through enterotomy. The patient was recovered smoothly and discharged from our hospital.</p>

scholarly journals Small bowel obstruction via herniation through an iatrogenic defect of the falciform ligament following laparoscopic cholecystectomy

2015 ◽  
Vol 97 (6) ◽  
pp. e93-e95 ◽  
Author(s):  
K Dusu ◽  
S Dindyal ◽  
V Gadhvi
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Diagnostic Laparoscopy ◽  
Congenital Abnormalities ◽  
Falciform Ligament ◽  
Acute Small Bowel Obstruction ◽  
Laparoscopic Techniques ◽  
Iatrogenic Defect

Internal herniation of the small bowel through a defect in the falciform ligament and subsequent small bowel obstruction is exceedingly rare with the majority of previous cases being attributed to congenital abnormalities. As laparoscopic techniques approach the forefront of modern surgery, an iatrogenic source for a falciform ligament defect has emerged over the last decade. In this case, a 50-year-old patient presented with signs of acute small bowel obstruction 10 days after a laparoscopic cholecystectomy. On diagnostic laparoscopy, part of the jejunum was found to have herniated through an opening in the falciform ligament. This was likely to have been caused by trauma during the cholecystectomy. Following relief of the obstruction, the defect was closed with polyglactin sutures.

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