Intestinal injury secondary to an umbilical piercing
1Section for Minimally Invasive and Bariatric Surgery, Department of Surgery, University of California, Los Angeles, USA.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|January 16, 2013
Summary
Body piercing, like umbilical piercings, can lead to unexpected surgical complications. Even after removal, prior piercings may cause intraoperative injuries during procedures like laparoscopy.
Area of Science:
- Surgical complications
- Abdominal surgery
- Minimally invasive surgery
Background:
- Body piercing is a common practice globally.
- Potential for unforeseen complications during surgical procedures exists.
- Hepatocellular carcinoma (HCC) management may involve diagnostic laparoscopy.
Observation:
- A 35-year-old woman with HCC underwent diagnostic laparoscopy for metastatic disease evaluation.
- Intraoperative intestinal injury occurred during abdominal entry and pneumoperitoneum.
- The injury resulted from an adhesion between the abdominal wall and small bowel, caused by a prior umbilical piercing.
Findings:
- Umbilical piercings can cause adhesions.
- These adhesions can lead to iatrogenic intestinal injury during laparoscopy.
- Injury can occur even if the piercing is removed before surgery.
Implications:
- Surgeons must consider body piercing as a potential risk factor for intraoperative complications.
- Awareness of prior piercings is crucial for preventing surgical injuries.
- Laparoscopic procedures require careful consideration of potential adhesion-related pitfalls.
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