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A strangulated internal hernia behind the external iliac artery after a laparoscopic pelvic lymphadenectomy

Ki Min Kim1, Cheol Hong Kim, Moon Kyoung Cho

  • 1Department of Obstetrics and Gynecology, Chonnam National University Medical School, Gwangju, Korea.

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|August 22, 2008
PubMed

An internal hernia associated with intra-abdominal blood vessels after a pelvic lymphadenectomy is very rare; to our knowledge, only 1 case has been reported to date. We report a case of a strangulated internal hernia of the small bowel behind the external iliac artery that occurred 3 months after a laparoscopic pelvic lymphadenectomy in a patient with cervical cancer. Retroperitonealization after the pelvic lymphadenectomy should be considered in patients with tortuous, elongated external iliac arteries that could be causal lesions of an internal hernia.

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