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Richter's hernia in a 5-mm trocar site.

TitleRichter's hernia in a 5-mm trocar site.
Publication TypeJournal Article
Year of Publication2019
AuthorsChorti, A., AbuFarha S., Michalopoulos A., & Papavramidis T. S.
JournalSAGE Open Med Case Rep
Date Published2019

We present an unusual case of a trocar site incision hernia at a 5-mm trocar port occurring approximately 2 weeks post-operatively after a laparoscopic cholecystectomy. The patient, in her mid-60s, reported diffuse abdominal pain, constipation, nausea and vomiting. An abdominal X-ray demonstrated dilated small bowel loops with gas-fluid levels. Abdominal computed tomography revealed the small bowel herniation through the 5-mm port site. Laparotomy confirmed a Richter's hernia of the small bowel in the fascia defect. This case highlights the necessity to examine and investigate any complaint post-operatively and deliberate its possible significance. Furthermore, it demonstrates that, even during a normal recovery period for a patient without any underlying disease or risk factors, a rare complication could still develop in a delayed fashion multiple days post-operatively from a laparoscopic procedure. High clinical suspicion is essential in order to avoid further deterioration of the patient condition and optimal treatment.

Alternate JournalSAGE Open Med Case Rep
PubMed ID30719305
PubMed Central IDPMC6349989


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