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Fooled by the Film: Delayed Diagnosis of Incarcerated Small-Bowel Hernia After Laparoscopic Surgery for Endometrial Cancer
  1. Adam N. Rosenthal, MD, PhD*,
  2. Gary Heron, MD,
  3. Martin Widschwendter, MD,
  4. Samantha Read, MD§,
  5. Carol Brunell, MD§ and
  6. Tim A. Mould, MD
  1. *Barts Cancer Institute - A Cancer Research UK Centre of Excellence, Barts and the London School of Medicine and Dentistry;
  2. UCL Medical School;
  3. Department of Women’s Cancer, University College Hospital; and
  4. §Department of Diagnostic Imaging, University College Hospital, London, England.
  1. Address correspondence and reprint requests to Adam N. Rosenthal, MD, PhD, Barts Cancer Institute - A Cancer Research UK Centre of Excellence, John Vane Science Centre, Charterhouse Square, London EC1M 6BQ, England. E-mail:


Abstract Prompt recognition of laparoscopic surgical complications is vital. We present a case highlighting the dangers of relying on plain radiography for exclusion of bowel herniation through a port site. Early recourse to cross-sectional imaging is recommended to avoid such pitfalls.

  • Complication
  • Hernia
  • Small bowel
  • Incarcerated
  • Strangulated
  • Laparoscopy
  • Radiograph

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  • The authors have no sources of support to declare.

  • The authors have no conflicts of interest to declare.

  • The patient has signed a letter giving permission for the authors to submit the case and images for publication.