Internal Hernia Underneath an Elongated External Iliac Artery: A Complication After Extended Pelvic Lymphadenectomy and Robotic-assisted Laparoscopic Prostatectomy

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• 作者：Pascal Viktorin-Baier^a ; ^{pascal.baier@ksw.ch" class="auth_mail" title="E-mail the corresponding author} ; ^{pascal.viktorin@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Marco Randazzo^a ; Cristoforo Medugno^b ; Hubert John^a
• 关键词：Internal hernia ; Complication ; Lymphadenectomy ; Robotic-assisted radical prostatectomy
• 刊名：Urology Case Reports
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：8
• 期：Complete
• 页码：9-11
• 全文大小：791 K

文摘

Small bowel herniation underneath the iliac vessel after transperitoneal pelvic lymphadenectomy is a rare complication. This report describes the first case of bowel incarceration behind the external iliac artery after transperitoneal robotic-assisted radical prostatectomy with extended lymph node dissection in a patient with prostate cancer 1 year after surgery. After diagnosis on CT scan, an open resection of the ischemic bowel was performed. Because of thrombosis, the external iliac artery was opened, the clot was removed and the elongated artery was resected with end-to-end anastomosis. In case of a meandering iliac artery, a retroperitonealization after pelvic lymphadenectomy might be discussed.