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  • Fooled by the Film: Delayed Diagnosis of Incarcerated Small-Bowel Hernia After Laparoscopic Surgery for Endometrial Cancer

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Surgeons Corner
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: a.rosenthal@qmul.ac.uk.

Abstract

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

http://dx.doi.org/10.1097/IGC.0b013e31823c244b

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    Footnotes

    • 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.