Laparoscopic Port Site Hernia: A Rare Etiology of Intestinal Obstruction

Small intestinal obstruction is a common indication for hospitalization and emergency surgeries. The most frequent etiologies are adhesions, hernia, and benign or malignant neoplasms. Abdominal imaging plays an important role in making the diagnosis and evaluating the complications of the obstructio...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 13; no. 11; p. e19681
Main Authors Albaqami, Alanood M, Al-Salam, Hawra'a A, Alhagbani, Mona A, Fallatah, Rahmah A, Aljarboa, Abdullah M, Alghassab, Majed A, Alghamdi, Saeed S, Kadhem, Kawthar A, Alsaileek, Yahya T, Albarakati, Hussam A, Gadah, Ziyad I, Babhair, Abdulqader S, Alshammari, Mohammad Y, Abuidrees, Masooma A, Al-Hawaj, Faisal M
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 17.11.2021
Cureus
Subjects
Abdomen
Case reports
Cholecystectomy
Emergency Medicine
General Surgery
Hemoglobin
Hernias
Intestinal obstruction
Laboratories
Laparoscopy
Medical schools
Medicine
Pain
Sickle cell disease
Surgery
Tomography
Saudi Arabia
Riyadh Saudi Arabia
laparoscopy
intestinal obstruction
case report
acute abdominal pain
hernia
port-site hernia
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Summary:Small intestinal obstruction is a common indication for hospitalization and emergency surgeries. The most frequent etiologies are adhesions, hernia, and benign or malignant neoplasms. Abdominal imaging plays an important role in making the diagnosis and evaluating the complications of the obstruction. We report a case of a young woman who presented with sudden abdominal pain and vomiting. She had a relevant past medical history of sickle cell disease and multiple episodes of biliary colic for which she underwent laparoscopic cholecystectomy two months before her current presentation. Laboratory findings indicated mild inflammation in the form of elevated C-reactive protein and erythrocyte sedimentation rate with the leukocytes count in the upper normal limits. Abdominal computed tomography demonstrated a knuckle of small bowel incarcerated in the port location of the previous laparoscopy. The bowel was reduced and the defect was repaired. The patient had complete resolution of her symptoms following the surgery. The case highlighted the importance of considering port-site hernia as an etiology of bowel obstruction in the relevant clinical settings since laparoscopic operations are being increasingly performed.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.19681