Document Detail

Case report: Complex retroperitoneal herniation after abdominoperineal resection.
MedLine Citation:
PMID:  22975445     Owner:  NLM     Status:  PubMed-not-MEDLINE    
INTRODUCTION: We describe the occurrence of a retroperitoneal hernia into the colonic mesentery after abdomoniperineal resection (APR) for rectal cancer.
PRESENTATION OF CASE: A 70year old male presented with complete small bowel obstruction secondary to a complex retroperitoneal herniation. Operative repair was carried out with successful reduction of the hernia contents.
DISCUSSION: A review of the literature is reported concerning retroperitoneal hernia. This occurrence is rare in the adult. Management of the resultant pelvic space after APR is discussed. Closure of the pelvic peritoneum is helpful in avoiding this and other similar complications.
CONCLUSION: We believe this to be the first report of a small bowel obstruction secondary to this unusual hernia circumstance. Although rare, due vigilance and thorough imaging can lead to effective and timely management of this complication.
Fuad Alkhoury; Jeremiah Martin
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Publication Detail:
Type:  Journal Article     Date:  2012-08-16
Journal Detail:
Title:  International journal of surgery case reports     Volume:  3     ISSN:  2210-2612     ISO Abbreviation:  Int J Surg Case Rep     Publication Date:  2012  
Date Detail:
Created Date:  2012-10-29     Completed Date:  2012-10-30     Revised Date:  2013-04-02    
Medline Journal Info:
Nlm Unique ID:  101529872     Medline TA:  Int J Surg Case Rep     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  584-6     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.
Department of Pediatric Surgery, Miami Children's Hospital, 3200 S.W. 60th Court, Suite 201, Miami, FL 33155, USA. Electronic address:
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