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

Abstract:

: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.

journal_name

Ann R Coll Surg Engl

authors

Dusu K,Dindyal S,Gadhvi V

doi

10.1308/rcsann.2015.0022

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

e93-5

issue

6

eissn

0035-8843

issn

1478-7083

journal_volume

97

pub_type

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