Document Detail

Acute right-lower-quadrant mass presenting after laparoscopic cholecystectomy.
MedLine Citation:
PMID:  9116949     Owner:  NLM     Status:  MEDLINE    
Hernia formation at trocar sites has been reported following laparoscopic surgical procedures. We present a case, however, of a healthy woman with signs, symptoms, and physical findings consistent with an incarcerated inguinal hernia 3 days after an uneventful laparoscopic cholecystectomy. Exploratory laparotomy revealed a small bile leak from an accessory duct of Luschka but did not identify an intra-abdominal process responsible for the patient's symptoms. Following the exploration, it was felt that the patient's presentation was likely due to tracking of carbon dioxide and bile-stained irrigation fluid to the right lower quadrant from the lateral laparoscopic trocar sites.
E S Bour; R L Conter
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgical laparoscopy & endoscopy     Volume:  7     ISSN:  1051-7200     ISO Abbreviation:  Surg Laparosc Endosc     Publication Date:  1997 Feb 
Date Detail:
Created Date:  1997-04-24     Completed Date:  1997-04-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9107230     Medline TA:  Surg Laparosc Endosc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  51-2     Citation Subset:  IM    
Department of Surgery, Milton S. Hershey Medical Center, Pennsylvania State University, Hershey, USA.
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MeSH Terms
Abdominal Pain / etiology
Bile Ducts / injuries*
Cholecystectomy, Laparoscopic*
Hernia, Inguinal / etiology
Pneumoperitoneum, Artificial / adverse effects
Postoperative Complications* / etiology
Comment In:
Surg Laparosc Endosc. 1998 Apr;8(2):160   [PMID:  9566576 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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