A Case of Preperitoneal Herniation of the Small Bowel Causing Intestinal Obstruction Following a Totally Extra Peritoneal Hernia Repair

Preperitoneal hernia is a very rare complication following laparoscopic inguinal hernia repair. A 57-year-old male underwent a right inguinal hernia totally extra peritoneal repair on 20/10/2021. Initial recovery was uncomplicated but on post operative day 10, he developed sudden onset of vomiting a...

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Main Authors: Lasitha B Samarakoon, Samip Chandraprakash, Rolands Fernandes, Pradeep Basnyat
Format: Article
Language:English
Published: Korean Society of Acute Care Surgery 2022-11-01
Series:Journal of Acute Care Surgery
Subjects:
Online Access:http://www.jacs.or.kr/upload/pdf/jacs-2022-12-3-138.pdf
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author Lasitha B Samarakoon
Samip Chandraprakash
Rolands Fernandes
Pradeep Basnyat
author_facet Lasitha B Samarakoon
Samip Chandraprakash
Rolands Fernandes
Pradeep Basnyat
author_sort Lasitha B Samarakoon
collection DOAJ
description Preperitoneal hernia is a very rare complication following laparoscopic inguinal hernia repair. A 57-year-old male underwent a right inguinal hernia totally extra peritoneal repair on 20/10/2021. Initial recovery was uncomplicated but on post operative day 10, he developed sudden onset of vomiting and abdominal pain. Initial imaging showed small bowel obstruction with a possible transition point. An internal hernia was suspected and he was offered urgent diagnostic laparoscopy following counseling. A preperitoneal defect was noted with distended proximal ileum and collapsed distal ileum and colon. A small bowel run-through did not reveal any pathological abnormalities. A presumptive diagnosis of a preperitoneal hernia was made, and the defect was closed with a running V lock suture. The patient made an uneventful postoperative recovery. An inadvertent breach in the peritoneum during a totally extra peritoneal repair can lead to preperitoneal herniation of the small bowel and intestinal obstruction postoperatively.
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spelling doaj.art-93d926ce8b73475fbb7254af66dd764d2023-09-19T00:05:37ZengKorean Society of Acute Care SurgeryJournal of Acute Care Surgery2288-58622288-95822022-11-0112313814110.17479/jacs.2022.12.3.138256A Case of Preperitoneal Herniation of the Small Bowel Causing Intestinal Obstruction Following a Totally Extra Peritoneal Hernia RepairLasitha B Samarakoon0Samip Chandraprakash1Rolands Fernandes2Pradeep Basnyat3 University hospitals of Leicester NHS Trust, United Kingdom William Harvey Hospital, Ashford, Kent, United Kingdom William Harvey Hospital, Ashford, Kent, United Kingdom William Harvey Hospital, Ashford, Kent, United KingdomPreperitoneal hernia is a very rare complication following laparoscopic inguinal hernia repair. A 57-year-old male underwent a right inguinal hernia totally extra peritoneal repair on 20/10/2021. Initial recovery was uncomplicated but on post operative day 10, he developed sudden onset of vomiting and abdominal pain. Initial imaging showed small bowel obstruction with a possible transition point. An internal hernia was suspected and he was offered urgent diagnostic laparoscopy following counseling. A preperitoneal defect was noted with distended proximal ileum and collapsed distal ileum and colon. A small bowel run-through did not reveal any pathological abnormalities. A presumptive diagnosis of a preperitoneal hernia was made, and the defect was closed with a running V lock suture. The patient made an uneventful postoperative recovery. An inadvertent breach in the peritoneum during a totally extra peritoneal repair can lead to preperitoneal herniation of the small bowel and intestinal obstruction postoperatively.http://www.jacs.or.kr/upload/pdf/jacs-2022-12-3-138.pdflaproscopic tep repairperitoneal defectpreperitoneal hernia
spellingShingle Lasitha B Samarakoon
Samip Chandraprakash
Rolands Fernandes
Pradeep Basnyat
A Case of Preperitoneal Herniation of the Small Bowel Causing Intestinal Obstruction Following a Totally Extra Peritoneal Hernia Repair
Journal of Acute Care Surgery
laproscopic tep repair
peritoneal defect
preperitoneal hernia
title A Case of Preperitoneal Herniation of the Small Bowel Causing Intestinal Obstruction Following a Totally Extra Peritoneal Hernia Repair
title_full A Case of Preperitoneal Herniation of the Small Bowel Causing Intestinal Obstruction Following a Totally Extra Peritoneal Hernia Repair
title_fullStr A Case of Preperitoneal Herniation of the Small Bowel Causing Intestinal Obstruction Following a Totally Extra Peritoneal Hernia Repair
title_full_unstemmed A Case of Preperitoneal Herniation of the Small Bowel Causing Intestinal Obstruction Following a Totally Extra Peritoneal Hernia Repair
title_short A Case of Preperitoneal Herniation of the Small Bowel Causing Intestinal Obstruction Following a Totally Extra Peritoneal Hernia Repair
title_sort case of preperitoneal herniation of the small bowel causing intestinal obstruction following a totally extra peritoneal hernia repair
topic laproscopic tep repair
peritoneal defect
preperitoneal hernia
url http://www.jacs.or.kr/upload/pdf/jacs-2022-12-3-138.pdf
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