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Delayed jejunal perforation after laparoscopic cholecystectomy

Ikennah L Browne1, Elijah Dixon2

  • 1Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada Department of General Surgery, Foothills Medical Centre, Calgary, AB, Canada.

Journal of Surgical Case Reports
|February 25, 2016
PubMed

Insights

Bowel perforation after laparoscopic cholecystectomy is rare but serious. Early diagnosis of small bowel perforation is crucial for patient survival, especially with sudden abdominal pain post-surgery.

Area of Science:

  • Gastroenterology
  • Surgical Complications
  • Abdominal Surgery

Background:

  • Laparoscopic cholecystectomy is a common procedure.
  • Bowel perforation is a rare but potentially fatal complication.
  • Isolated small bowel perforation is exceptionally uncommon.

Observation:

  • A 57-year-old male presented with sudden abdominal pain 11 days after laparoscopic cholecystectomy.
  • Initial CT scan was inconclusive, leading to admission for observation.
  • The patient developed peritonitis, necessitating exploratory laparotomy.

Findings:

  • Laparotomy revealed a jejunal perforation.
  • The patient underwent bowel resection and anastomosis.
  • Discharge occurred on postoperative day 10 with no long-term issues at 6-week follow-up.

Implications:

  • Sudden abdominal pain post-laparoscopic cholecystectomy warrants consideration of small bowel perforation.
  • Timely diagnosis and surgical intervention are critical for managing this rare complication.
  • This case highlights the importance of vigilance for unusual postoperative presentations.

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