婦人科および産科の症例報告 オープンアクセス

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Small Bowel Hernia Following Laparoscopic Extraperitoneal Para-Aortic Lymphadenectomy for Endometrial Cancer

Lanteigne L, Liakou C and Burbos N

In the treatment of endometrial carcinoma, surgical management is the mainstay. Total hysterectomy and bilateral salpingo-oophorectomy followed by intraoperative staging is indicated for determining patient management and prognosis. Dissection of the para-aortic and pelvic lymph nodes is performed to predict patient prognosis to determine need for adjuvant chemotherapy. Laparoscopic left extraperitoneal para-aortic lymphadenectomy is an effective approach offering various benefits compared to the conventional transperitoneal route. An internal hernia of small bowel into preperitoneal space has never been reported in a patient undergoing extraperitoneal para-aortic lymphadenectomy. We present the first case of extraperitoneal small bowel hernia, following surgical management and staging of endometrial cancer in a 64-year-old female, which led to bowel strangulation, subsequent ischemia and the need for bowel resection and anastomosis.