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Laparoscopic treatment of a postoperative small bowel obstruction.

Neff M, Schmidt B - JSLS (2010 Jan-Mar)

Bottom Line: We describe the case report of a 25-year-old female who presented with signs and symptoms of bowel obstruction status after laparoscopic treatment of an ectopic pregnancy performed 3 weeks earlier.The patient underwent laparoscopic lysis of adhesions and reduction of small bowel obstruction.This case report presents an atypical cause of postoperative bowel obstruction and reviews the current literature regarding laparoscopic surgery as an approach for treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, University of Medicine and Dentistry, Stratford, New Jersey, USA.

ABSTRACT
We describe the case report of a 25-year-old female who presented with signs and symptoms of bowel obstruction status after laparoscopic treatment of an ectopic pregnancy performed 3 weeks earlier. The patient underwent laparoscopic lysis of adhesions and reduction of small bowel obstruction. This case report presents an atypical cause of postoperative bowel obstruction and reviews the current literature regarding laparoscopic surgery as an approach for treatment.

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Related in: MedlinePlus

Aberrant clip at transition point.
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Figure 3: Aberrant clip at transition point.

Mentions: The exploratory laparoscopy was performed with the patient under general anesthesia and by using three 5-mm ports. Upon entry into the abdomen, a fair amount of ascitic fluid was seen. Gentle “running of the small bowel” revealed an internal hernia in the right lower quadrant. Further inspection of site identified an adhesive band between the right fallopian tube and the mesentery of the small bowel, which had trapped a segment of the small bowel underneath (Figure 2). Prior to releasing the internal hernia, it was noted that a surgical clip from the cut end of the fallopian tube had “grabbed” the mesentery (Figure 3). The obstruction was reduced with gentle traction, and no signs of bowel compromise were noted. The clip was removed. A piece of Seprafilm was placed over the Fallopian tube, and the abdomen was desufflated and closed in the usual fashion.


Laparoscopic treatment of a postoperative small bowel obstruction.

Neff M, Schmidt B - JSLS (2010 Jan-Mar)

Aberrant clip at transition point.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3021286&req=5

Figure 3: Aberrant clip at transition point.
Mentions: The exploratory laparoscopy was performed with the patient under general anesthesia and by using three 5-mm ports. Upon entry into the abdomen, a fair amount of ascitic fluid was seen. Gentle “running of the small bowel” revealed an internal hernia in the right lower quadrant. Further inspection of site identified an adhesive band between the right fallopian tube and the mesentery of the small bowel, which had trapped a segment of the small bowel underneath (Figure 2). Prior to releasing the internal hernia, it was noted that a surgical clip from the cut end of the fallopian tube had “grabbed” the mesentery (Figure 3). The obstruction was reduced with gentle traction, and no signs of bowel compromise were noted. The clip was removed. A piece of Seprafilm was placed over the Fallopian tube, and the abdomen was desufflated and closed in the usual fashion.

Bottom Line: We describe the case report of a 25-year-old female who presented with signs and symptoms of bowel obstruction status after laparoscopic treatment of an ectopic pregnancy performed 3 weeks earlier.The patient underwent laparoscopic lysis of adhesions and reduction of small bowel obstruction.This case report presents an atypical cause of postoperative bowel obstruction and reviews the current literature regarding laparoscopic surgery as an approach for treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, University of Medicine and Dentistry, Stratford, New Jersey, USA.

ABSTRACT
We describe the case report of a 25-year-old female who presented with signs and symptoms of bowel obstruction status after laparoscopic treatment of an ectopic pregnancy performed 3 weeks earlier. The patient underwent laparoscopic lysis of adhesions and reduction of small bowel obstruction. This case report presents an atypical cause of postoperative bowel obstruction and reviews the current literature regarding laparoscopic surgery as an approach for treatment.

Show MeSH
Related in: MedlinePlus