Small bowel obstruction secondary to entrapment in laparoscopic port site hernia

Case contributed by Dr Vikas Shah

Presentation

Recent ovarian cystectomy. Increasing abdominal pain and distension.

Patient Data

Age: 35 years
Gender: Female

Radiopaedia's Abdominal Emergency Radiology Course - Registrations Now Open!

There are several loops of small bowel distended with gas within the upper and mid abdomen, with a paucity of gas in the large bowel.

Multiple distended loops of small bowel with a transition point in the midline of the anterior abdominal wall adjacent to the umbilicus. Oedema of the abdominal wall is present. A small volume of free abdominal fluid is present, no free gas. No signs of bowel ischaemia. A soft tissue density "mass" in the right hemipelvis is likely a post-operative haematoma.

Case Discussion

Herniation of small bowel through a laparoscopic port site has led to acute high-grade small bowel obstruction. At surgery, the hernia was reduced with an abdominal wall repair.

PlayAdd to Share

Case information

rID: 49642
Case created: 28th Nov 2016
Last edited: 25th Oct 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.