Open AccessA case of unusual evisceration through laparoscopic port site
Author(s) -
Mathews James,
G Senthil,
Raja Kalayarasan,
Biju Pottakkat
Publication year - 2021
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/jmas.jmas_221_20
Subject(s) - evisceration (ophthalmology) , medicine , surgery , port (circuit theory) , general surgery , engineering , alternative medicine , electrical engineering , pathology
Drain site eviscerations have been reported as a rare complication following abdominal surgery. An 82-year-old women was diagnosed with carcinoma stomach and underwent laparoscopic subtotal gastrectomy. A few hours following removal of the duodenal stump drain, she developed small bowel evisceration through the drain site. It was successfully managed with immediate bedside release of fascial constriction followed by definitive repair later. Although herniations and eviscerations via larger drain sites have been reported, eviscerations from small laparoscopic port sites used for drains are rare. Here, we report the first case of small bowel evisceration with strangulation through a 5-mm port site.