Strangulated Internal Hernia Beneath the Obturator Nerve After Laparoscopic Radical Cystectomy With Extended Pelvic Lymph Node Dissection.

Abstract:

:Internal hernia beneath the vascular structures after pelvic lymphadenectomy is a rare condition. Herein, we report a case of a strangulated internal hernia beneath the obturator nerve 38 months after laparoscopic radical cystectomy with extended pelvic lymphadenectomy. Computed tomography revealed dilated small bowels and a closed loop in the pelvis. The emergency laparotomy was performed, and a strangulated internal hernia beneath the obturator nerve was observed. It is necessary to consider the possibility of internal hernia beneath the vascular structure, including the obturator nerve, after the pelvic lymph lymphadenectomy, particularly via a minimally invasive approach.

journal_name

Urology

journal_title

Urology

authors

Kanno T,Otsuka K,Takahashi T,Somiya S,Ito K,Higashi Y,Yamada H

doi

10.1016/j.urology.2020.07.029

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

11-12

eissn

0090-4295

issn

1527-9995

pii

S0090-4295(20)30925-0

journal_volume

145

pub_type

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