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Ileus forårsaget af porthernier efter laparoskopisk hysterektomi
Engelsk titel: Ileus caused by trocar sites after laparoscopic hysterectomy Läs online Författare: Karlsen, Andreas A ; Nielsen, Therese F ; Achiam, Michael P Språk: Dan Antal referenser: 5 Dokumenttyp: Fallbeskrivning UI-nummer: 13127213

Tidskrift

Ugeskrift for Laeger 2013;175(44)2646-7 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Trocar site herniation (TSH) is a rare condition after laparoscopy and may cause obstruction of the bowel. TSH may be present despite attempted fascial closure. This case report includes two simultaneous TSH in a patient who had laparoscopic hysterec­tomy performed. She presented with symptoms with severe abdominal pain, excessive vomiting and bloating of the abdo­men. A computed tomography showed herniation of the small bowel at two previous trocar sites. The case resulted in emer­gency laparoscopy with decompression of the herniated bowel.