Small bowel obstruction due to port-site hernia with evisceration following laparoscopic appendectomy: a rare...

We report the case of a 37-year-old male who developed small bowel obstruction following laparoscopic appendectomy for gangrenous appendicitis. Postoperatively, he presented with persistent abdominal pain and failure to pass stool or flatus. CT demonstrated dilated small bowel loops without a clear transition point. Diagnostic laparoscopy revealed herniation of small bowel through a left lower port site with pelvic adhesions. The bowel was viable, reduction, and adhesiolysis were performed, and fascial closure was reinforced. The patient recovered uneventfully. This case highlights the rare but serious complication of port-site hernia causing bowel obstruction and emphasizes the importance of meticulous fascial closure of trocar sites ≥10 mm and vigilance for early postoperative obstruction.