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Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein
Published on: September 27, 2024
Rare cause of acute pain in the left upper abdominal quadrant
D Kanellos1, F Kockerling, K T Moesta
1Department of Surgery and Centre of Minimally Invasive Surgery, Hanover Hospital (Siloah), Roesebeckstrasse 15, 30449, Hanover, Germany. kanellosd@yahoo.com
Abstract:
We report a case of a 45-year-old man with acute pain in the left upper abdominal quadrant. Extensive diagnostic workup remained inconclusive. An exploratory laparotomy revealed herniation of the entire ascending colon, together with a part of the terminal ileum through the foramen of Winslow into the bursa omentalis. The internal hernia was further complicated by a perforated appendicitis within the bursa, explaining the acuteness of the symptoms. Reduction of the hernia, appendectomy and colopexy were performed consequently. This would be the first reported case of a perforated appendicitis within the lesser sack.
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