Bowel Herniation Through 5mm Port Site: An Unusual Complication

Shibumon Mundunadackal Madhavan1, Vamsi Krishna Potunru2, Alfred Joseph Augustine3

  • 1Associate Professor, Department of General Surgery, Kasturba Medical College Hospital, Mangalore, Manipal University , Karnataka, India .

Trocar site herniation is a rare complication following laparoscopic surgery. We report a case of small bowel herniation through 5mm port site following laparoscopic myomectomy. A 36-year-old lady underwent laparoscopic myomectomy. On the fourth postoperative day she developed features of intestinal obstruction. Further evaluation with CT scan showed herniation of a loop of small bowel through the 5mm port site in right iliac fossa. Surgical exploration of the port site revealed a herniated loop of viable small bowel. The enlarged facial defect was closed after reduction of the bowel. Patient recovered uneventfully. Bowel herniation through 5mm port site is a rare complication which requires prompt diagnosis and immediate treatment to avoid morbidity.

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