Bowel obstruction caused by an internal hernia that developed after laparoscopic subtotal colectomy: a case report

Introduction Laparoscopic surgery is a minimally invasive approach with good treatment outcomes and is currently the standard surgery for colorectal cancer in Japan. Mesenteric closure is considered unnecessary in laparoscopic colorectal surgery because it can damage the bowel and blood vessels. How...
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Autor*in:	Yoshida, Takefumi [verfasserIn] Kinugasa, Tetsushi Oka, Yousuke Mizobe, Tomoaki Ishikawa, Hiroto Mori, Naoki Isobe, Taro Katayama, Eri Akagi, Yoshito

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2014

Schlagwörter:	Laparoscopic surgery Subtotal colectomy Bowel strangulation Internal hernia Mesenteric closure

Anmerkung:	© Yoshida et al.; licensee BioMed Central. 2014

Übergeordnetes Werk:	Enthalten in: Journal of medical case reports - London : BioMed Central, 2007, 8(2014), 1 vom: 29. Dez.
Übergeordnetes Werk:	volume:8 ; year:2014 ; number:1 ; day:29 ; month:12

Links:	Volltext

DOI / URN:	10.1186/1752-1947-8-470

Katalog-ID:	SPR031057322

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520			\|a Introduction Laparoscopic surgery is a minimally invasive approach with good treatment outcomes and is currently the standard surgery for colorectal cancer in Japan. Mesenteric closure is considered unnecessary in laparoscopic colorectal surgery because it can damage the bowel and blood vessels. However, an internal hernia may develop if the mesentery is not repaired. Case presentation We report a case of internal hernia in a 61-year-old male of Japanese ethnicity. The patient had advanced sigmoid colon cancer, early-stage transverse colon cancer, and multiple adenomatous polyposis, and underwent laparoscopically-assisted subtotal colectomy. Bowel obstruction developed six days postoperatively and did not improve with conservative treatment. Abdominal computed tomography detected an internal hernia, prompting emergency surgery in which the ileum protruding into the mesenteric defect and an anastomotic stricture were detected. Reanastomosis, mesentery closure, and ileostomy were performed after hernia repair. Conclusion In this case, open surgery was necessary due to bowel obstruction after laparoscopic colectomy. This outcome indicated that mesenteric closure should have been performed. Thus, the benefits of mesenteric closure require assessment in future cases.
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allfields	10.1186/1752-1947-8-470 doi (DE-627)SPR031057322 (SPR)1752-1947-8-470-e DE-627 ger DE-627 rakwb eng Yoshida, Takefumi verfasserin aut Bowel obstruction caused by an internal hernia that developed after laparoscopic subtotal colectomy: a case report 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Yoshida et al.; licensee BioMed Central. 2014 Introduction Laparoscopic surgery is a minimally invasive approach with good treatment outcomes and is currently the standard surgery for colorectal cancer in Japan. Mesenteric closure is considered unnecessary in laparoscopic colorectal surgery because it can damage the bowel and blood vessels. However, an internal hernia may develop if the mesentery is not repaired. Case presentation We report a case of internal hernia in a 61-year-old male of Japanese ethnicity. The patient had advanced sigmoid colon cancer, early-stage transverse colon cancer, and multiple adenomatous polyposis, and underwent laparoscopically-assisted subtotal colectomy. Bowel obstruction developed six days postoperatively and did not improve with conservative treatment. Abdominal computed tomography detected an internal hernia, prompting emergency surgery in which the ileum protruding into the mesenteric defect and an anastomotic stricture were detected. Reanastomosis, mesentery closure, and ileostomy were performed after hernia repair. Conclusion In this case, open surgery was necessary due to bowel obstruction after laparoscopic colectomy. This outcome indicated that mesenteric closure should have been performed. Thus, the benefits of mesenteric closure require assessment in future cases. Laparoscopic surgery (dpeaa)DE-He213 Subtotal colectomy (dpeaa)DE-He213 Bowel strangulation (dpeaa)DE-He213 Internal hernia (dpeaa)DE-He213 Mesenteric closure (dpeaa)DE-He213 Kinugasa, Tetsushi aut Oka, Yousuke aut Mizobe, Tomoaki aut Ishikawa, Hiroto aut Mori, Naoki aut Isobe, Taro aut Katayama, Eri aut Akagi, Yoshito aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 8(2014), 1 vom: 29. Dez. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:8 year:2014 number:1 day:29 month:12 https://dx.doi.org/10.1186/1752-1947-8-470 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2014 1 29 12
spelling	10.1186/1752-1947-8-470 doi (DE-627)SPR031057322 (SPR)1752-1947-8-470-e DE-627 ger DE-627 rakwb eng Yoshida, Takefumi verfasserin aut Bowel obstruction caused by an internal hernia that developed after laparoscopic subtotal colectomy: a case report 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Yoshida et al.; licensee BioMed Central. 2014 Introduction Laparoscopic surgery is a minimally invasive approach with good treatment outcomes and is currently the standard surgery for colorectal cancer in Japan. Mesenteric closure is considered unnecessary in laparoscopic colorectal surgery because it can damage the bowel and blood vessels. However, an internal hernia may develop if the mesentery is not repaired. Case presentation We report a case of internal hernia in a 61-year-old male of Japanese ethnicity. The patient had advanced sigmoid colon cancer, early-stage transverse colon cancer, and multiple adenomatous polyposis, and underwent laparoscopically-assisted subtotal colectomy. Bowel obstruction developed six days postoperatively and did not improve with conservative treatment. Abdominal computed tomography detected an internal hernia, prompting emergency surgery in which the ileum protruding into the mesenteric defect and an anastomotic stricture were detected. Reanastomosis, mesentery closure, and ileostomy were performed after hernia repair. Conclusion In this case, open surgery was necessary due to bowel obstruction after laparoscopic colectomy. This outcome indicated that mesenteric closure should have been performed. Thus, the benefits of mesenteric closure require assessment in future cases. Laparoscopic surgery (dpeaa)DE-He213 Subtotal colectomy (dpeaa)DE-He213 Bowel strangulation (dpeaa)DE-He213 Internal hernia (dpeaa)DE-He213 Mesenteric closure (dpeaa)DE-He213 Kinugasa, Tetsushi aut Oka, Yousuke aut Mizobe, Tomoaki aut Ishikawa, Hiroto aut Mori, Naoki aut Isobe, Taro aut Katayama, Eri aut Akagi, Yoshito aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 8(2014), 1 vom: 29. Dez. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:8 year:2014 number:1 day:29 month:12 https://dx.doi.org/10.1186/1752-1947-8-470 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2014 1 29 12
allfields_unstemmed	10.1186/1752-1947-8-470 doi (DE-627)SPR031057322 (SPR)1752-1947-8-470-e DE-627 ger DE-627 rakwb eng Yoshida, Takefumi verfasserin aut Bowel obstruction caused by an internal hernia that developed after laparoscopic subtotal colectomy: a case report 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Yoshida et al.; licensee BioMed Central. 2014 Introduction Laparoscopic surgery is a minimally invasive approach with good treatment outcomes and is currently the standard surgery for colorectal cancer in Japan. Mesenteric closure is considered unnecessary in laparoscopic colorectal surgery because it can damage the bowel and blood vessels. However, an internal hernia may develop if the mesentery is not repaired. Case presentation We report a case of internal hernia in a 61-year-old male of Japanese ethnicity. The patient had advanced sigmoid colon cancer, early-stage transverse colon cancer, and multiple adenomatous polyposis, and underwent laparoscopically-assisted subtotal colectomy. Bowel obstruction developed six days postoperatively and did not improve with conservative treatment. Abdominal computed tomography detected an internal hernia, prompting emergency surgery in which the ileum protruding into the mesenteric defect and an anastomotic stricture were detected. Reanastomosis, mesentery closure, and ileostomy were performed after hernia repair. Conclusion In this case, open surgery was necessary due to bowel obstruction after laparoscopic colectomy. This outcome indicated that mesenteric closure should have been performed. Thus, the benefits of mesenteric closure require assessment in future cases. Laparoscopic surgery (dpeaa)DE-He213 Subtotal colectomy (dpeaa)DE-He213 Bowel strangulation (dpeaa)DE-He213 Internal hernia (dpeaa)DE-He213 Mesenteric closure (dpeaa)DE-He213 Kinugasa, Tetsushi aut Oka, Yousuke aut Mizobe, Tomoaki aut Ishikawa, Hiroto aut Mori, Naoki aut Isobe, Taro aut Katayama, Eri aut Akagi, Yoshito aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 8(2014), 1 vom: 29. Dez. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:8 year:2014 number:1 day:29 month:12 https://dx.doi.org/10.1186/1752-1947-8-470 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2014 1 29 12
allfieldsGer	10.1186/1752-1947-8-470 doi (DE-627)SPR031057322 (SPR)1752-1947-8-470-e DE-627 ger DE-627 rakwb eng Yoshida, Takefumi verfasserin aut Bowel obstruction caused by an internal hernia that developed after laparoscopic subtotal colectomy: a case report 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Yoshida et al.; licensee BioMed Central. 2014 Introduction Laparoscopic surgery is a minimally invasive approach with good treatment outcomes and is currently the standard surgery for colorectal cancer in Japan. Mesenteric closure is considered unnecessary in laparoscopic colorectal surgery because it can damage the bowel and blood vessels. However, an internal hernia may develop if the mesentery is not repaired. Case presentation We report a case of internal hernia in a 61-year-old male of Japanese ethnicity. The patient had advanced sigmoid colon cancer, early-stage transverse colon cancer, and multiple adenomatous polyposis, and underwent laparoscopically-assisted subtotal colectomy. Bowel obstruction developed six days postoperatively and did not improve with conservative treatment. Abdominal computed tomography detected an internal hernia, prompting emergency surgery in which the ileum protruding into the mesenteric defect and an anastomotic stricture were detected. Reanastomosis, mesentery closure, and ileostomy were performed after hernia repair. Conclusion In this case, open surgery was necessary due to bowel obstruction after laparoscopic colectomy. This outcome indicated that mesenteric closure should have been performed. Thus, the benefits of mesenteric closure require assessment in future cases. Laparoscopic surgery (dpeaa)DE-He213 Subtotal colectomy (dpeaa)DE-He213 Bowel strangulation (dpeaa)DE-He213 Internal hernia (dpeaa)DE-He213 Mesenteric closure (dpeaa)DE-He213 Kinugasa, Tetsushi aut Oka, Yousuke aut Mizobe, Tomoaki aut Ishikawa, Hiroto aut Mori, Naoki aut Isobe, Taro aut Katayama, Eri aut Akagi, Yoshito aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 8(2014), 1 vom: 29. Dez. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:8 year:2014 number:1 day:29 month:12 https://dx.doi.org/10.1186/1752-1947-8-470 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2014 1 29 12
allfieldsSound	10.1186/1752-1947-8-470 doi (DE-627)SPR031057322 (SPR)1752-1947-8-470-e DE-627 ger DE-627 rakwb eng Yoshida, Takefumi verfasserin aut Bowel obstruction caused by an internal hernia that developed after laparoscopic subtotal colectomy: a case report 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Yoshida et al.; licensee BioMed Central. 2014 Introduction Laparoscopic surgery is a minimally invasive approach with good treatment outcomes and is currently the standard surgery for colorectal cancer in Japan. Mesenteric closure is considered unnecessary in laparoscopic colorectal surgery because it can damage the bowel and blood vessels. However, an internal hernia may develop if the mesentery is not repaired. Case presentation We report a case of internal hernia in a 61-year-old male of Japanese ethnicity. The patient had advanced sigmoid colon cancer, early-stage transverse colon cancer, and multiple adenomatous polyposis, and underwent laparoscopically-assisted subtotal colectomy. Bowel obstruction developed six days postoperatively and did not improve with conservative treatment. Abdominal computed tomography detected an internal hernia, prompting emergency surgery in which the ileum protruding into the mesenteric defect and an anastomotic stricture were detected. Reanastomosis, mesentery closure, and ileostomy were performed after hernia repair. Conclusion In this case, open surgery was necessary due to bowel obstruction after laparoscopic colectomy. This outcome indicated that mesenteric closure should have been performed. Thus, the benefits of mesenteric closure require assessment in future cases. Laparoscopic surgery (dpeaa)DE-He213 Subtotal colectomy (dpeaa)DE-He213 Bowel strangulation (dpeaa)DE-He213 Internal hernia (dpeaa)DE-He213 Mesenteric closure (dpeaa)DE-He213 Kinugasa, Tetsushi aut Oka, Yousuke aut Mizobe, Tomoaki aut Ishikawa, Hiroto aut Mori, Naoki aut Isobe, Taro aut Katayama, Eri aut Akagi, Yoshito aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 8(2014), 1 vom: 29. Dez. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:8 year:2014 number:1 day:29 month:12 https://dx.doi.org/10.1186/1752-1947-8-470 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2014 1 29 12
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topic_facet	Laparoscopic surgery Subtotal colectomy Bowel strangulation Internal hernia Mesenteric closure
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author	Yoshida, Takefumi
spellingShingle	Yoshida, Takefumi misc Laparoscopic surgery misc Subtotal colectomy misc Bowel strangulation misc Internal hernia misc Mesenteric closure Bowel obstruction caused by an internal hernia that developed after laparoscopic subtotal colectomy: a case report
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topic_title	Bowel obstruction caused by an internal hernia that developed after laparoscopic subtotal colectomy: a case report Laparoscopic surgery (dpeaa)DE-He213 Subtotal colectomy (dpeaa)DE-He213 Bowel strangulation (dpeaa)DE-He213 Internal hernia (dpeaa)DE-He213 Mesenteric closure (dpeaa)DE-He213
topic	misc Laparoscopic surgery misc Subtotal colectomy misc Bowel strangulation misc Internal hernia misc Mesenteric closure
topic_unstemmed	misc Laparoscopic surgery misc Subtotal colectomy misc Bowel strangulation misc Internal hernia misc Mesenteric closure
topic_browse	misc Laparoscopic surgery misc Subtotal colectomy misc Bowel strangulation misc Internal hernia misc Mesenteric closure
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title	Bowel obstruction caused by an internal hernia that developed after laparoscopic subtotal colectomy: a case report
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title_full	Bowel obstruction caused by an internal hernia that developed after laparoscopic subtotal colectomy: a case report
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author_browse	Yoshida, Takefumi Kinugasa, Tetsushi Oka, Yousuke Mizobe, Tomoaki Ishikawa, Hiroto Mori, Naoki Isobe, Taro Katayama, Eri Akagi, Yoshito
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title_sort	bowel obstruction caused by an internal hernia that developed after laparoscopic subtotal colectomy: a case report
title_auth	Bowel obstruction caused by an internal hernia that developed after laparoscopic subtotal colectomy: a case report
abstract	Introduction Laparoscopic surgery is a minimally invasive approach with good treatment outcomes and is currently the standard surgery for colorectal cancer in Japan. Mesenteric closure is considered unnecessary in laparoscopic colorectal surgery because it can damage the bowel and blood vessels. However, an internal hernia may develop if the mesentery is not repaired. Case presentation We report a case of internal hernia in a 61-year-old male of Japanese ethnicity. The patient had advanced sigmoid colon cancer, early-stage transverse colon cancer, and multiple adenomatous polyposis, and underwent laparoscopically-assisted subtotal colectomy. Bowel obstruction developed six days postoperatively and did not improve with conservative treatment. Abdominal computed tomography detected an internal hernia, prompting emergency surgery in which the ileum protruding into the mesenteric defect and an anastomotic stricture were detected. Reanastomosis, mesentery closure, and ileostomy were performed after hernia repair. Conclusion In this case, open surgery was necessary due to bowel obstruction after laparoscopic colectomy. This outcome indicated that mesenteric closure should have been performed. Thus, the benefits of mesenteric closure require assessment in future cases. © Yoshida et al.; licensee BioMed Central. 2014
abstractGer	Introduction Laparoscopic surgery is a minimally invasive approach with good treatment outcomes and is currently the standard surgery for colorectal cancer in Japan. Mesenteric closure is considered unnecessary in laparoscopic colorectal surgery because it can damage the bowel and blood vessels. However, an internal hernia may develop if the mesentery is not repaired. Case presentation We report a case of internal hernia in a 61-year-old male of Japanese ethnicity. The patient had advanced sigmoid colon cancer, early-stage transverse colon cancer, and multiple adenomatous polyposis, and underwent laparoscopically-assisted subtotal colectomy. Bowel obstruction developed six days postoperatively and did not improve with conservative treatment. Abdominal computed tomography detected an internal hernia, prompting emergency surgery in which the ileum protruding into the mesenteric defect and an anastomotic stricture were detected. Reanastomosis, mesentery closure, and ileostomy were performed after hernia repair. Conclusion In this case, open surgery was necessary due to bowel obstruction after laparoscopic colectomy. This outcome indicated that mesenteric closure should have been performed. Thus, the benefits of mesenteric closure require assessment in future cases. © Yoshida et al.; licensee BioMed Central. 2014
abstract_unstemmed	Introduction Laparoscopic surgery is a minimally invasive approach with good treatment outcomes and is currently the standard surgery for colorectal cancer in Japan. Mesenteric closure is considered unnecessary in laparoscopic colorectal surgery because it can damage the bowel and blood vessels. However, an internal hernia may develop if the mesentery is not repaired. Case presentation We report a case of internal hernia in a 61-year-old male of Japanese ethnicity. The patient had advanced sigmoid colon cancer, early-stage transverse colon cancer, and multiple adenomatous polyposis, and underwent laparoscopically-assisted subtotal colectomy. Bowel obstruction developed six days postoperatively and did not improve with conservative treatment. Abdominal computed tomography detected an internal hernia, prompting emergency surgery in which the ileum protruding into the mesenteric defect and an anastomotic stricture were detected. Reanastomosis, mesentery closure, and ileostomy were performed after hernia repair. Conclusion In this case, open surgery was necessary due to bowel obstruction after laparoscopic colectomy. This outcome indicated that mesenteric closure should have been performed. Thus, the benefits of mesenteric closure require assessment in future cases. © Yoshida et al.; licensee BioMed Central. 2014
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title_short	Bowel obstruction caused by an internal hernia that developed after laparoscopic subtotal colectomy: a case report
url	https://dx.doi.org/10.1186/1752-1947-8-470
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author2	Kinugasa, Tetsushi Oka, Yousuke Mizobe, Tomoaki Ishikawa, Hiroto Mori, Naoki Isobe, Taro Katayama, Eri Akagi, Yoshito
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up_date	2024-07-03T21:44:13.787Z
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Bowel obstruction caused by an internal hernia that developed after laparoscopic subtotal colectomy: a case report

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