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Updated: Aug 10, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Laparoscopic intestinal injury: a review and case presentation
1Institute of Gynecology and the Department of Gynecology and Obstetrics, University of South Florida, Tampa, USA.
Excessive periumbilical fluid leak after laparoscopy may indicate small-intestine injury, even without typical symptoms. This case highlights a rare internal-external canalization masking the perforation, emphasizing the need for vigilance.
Area of Science:
- Minimally Invasive Surgery
- Gastrointestinal Surgery
- Surgical Complications
Background:
- Laparoscopic surgery carries a risk of iatrogenic small-intestine injury during trocar insertion.
- The incidence and presentation of such injuries remain incompletely understood.
- This case highlights a unique presentation of a laparoscopic trocar injury.
Observation:
- A patient developed excessive periumbilical fluid leakage post-laparoscopy for adhesions.
- Initial assessment attributed the leak to residual irrigation fluid.
- Classic signs of bowel injury were absent, despite persistent leakage.
Findings:
- Diagnostic imaging confirmed a small-intestine perforation.
- An exploratory laparotomy revealed and treated the injury.
- The patient recovered without long-term sequelae.
Implications:
- Persistent periumbilical fluid leak post-laparoscopy warrants investigation for small-bowel injury.
- Iatrogenic internal-external fistulas can mask surgical complications.
- Absence of classic symptoms or lab changes does not exclude serious injury.
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