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Updated: Oct 1, 2025
Creation of Abdominal Adhesions in Mice
Published on: August 27, 2016
[Internal bowel herniation due to clip adhaesion]
Sermed Nicolae1, Anders Peter Gerholt Skovsen1
1Kirurgisk Afdeling, Københavns Universitetshospital - Nordsjællands Hospital - Hillerød.
Abstract:
Small bowel obstruction (SBO) due to clip adhaesions from the line of staples is a rare complication and is scarcely reported in the literature. In this case report, a ten-year-old boy underwent laparoscopic appendectomy and five days later developed early postoperative SBO. Diagnostic laparoscopy revealed internal herniation of bowel through a defect created by clip adhesion from the staple line to the adjacent mesentery. The clip was removed, the internal hernia resolved, and the patient discharged the same day. We recommend reviewing the line of staples after surgery.
Insights
Small bowel obstruction (SBO) is a rare complication following laparoscopic appendectomy. Reviewing staple lines post-surgery may prevent internal hernias caused by clip adhesions.
Area of Science:
- Gastroenterology
- Surgical Complications
- Pediatric Surgery
Background:
- Small bowel obstruction (SBO) is a rare complication, with few reported cases linked to clip adhesions from staple lines.
- This case report focuses on a pediatric patient experiencing early postoperative SBO after laparoscopic appendectomy.
Observation:
- A ten-year-old boy developed SBO five days post-laparoscopic appendectomy.
- Diagnostic laparoscopy identified internal herniation of the bowel through a defect.
- The defect was caused by a clip adhesion from the staple line to the adjacent mesentery.
Findings:
- SBO was attributed to a clip adhesion from the staple line to the mesentery, causing internal herniation.
- Surgical intervention involved removing the clip, which resolved the internal hernia.
- The patient recovered and was discharged on the same day.
Implications:
- This case highlights a rare but significant surgical complication.
- Routine review of staple lines post-laparoscopy may be beneficial in preventing such adhesions.
- Early diagnosis and intervention are crucial for favorable patient outcomes in SBO cases.
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