Sigmoid Colon Perforation after Laparoscopic Gynecologic Surgery: A Case Report.
- Author:
Yong Hun KIM
1
;
Jun Sik YOO
;
Young Soo KWAK
Author Information
1. Department of Surgery, Konkuk University Chungju Hospital, School of Medicine, Konkuk University, Chungju, Korea. junsikyu@hanmail.net
- Publication Type:Case Report
- Keywords:
Bowel injury;
Laparoscopic surgery
- MeSH:
Abdomen, Acute;
Abdominal Pain;
Adult;
Colon, Sigmoid*;
Diagnosis;
Diagnostic Imaging;
Female;
Gynecologic Surgical Procedures*;
Humans;
Ileostomy;
Inflammation;
Laparoscopy;
Laparotomy;
Physical Examination
- From:Journal of the Korean Society of Emergency Medicine
2015;26(2):212-214
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Bowel injury after laparoscopic gynecologic surgery is a rare but serious complication. In particular, diagnosis of a patient with bowel injury is difficult because of the unusual patient presentation and remaining intraabdominal gas. We report on a case of a sigmoid colon perforation after laparoscopic gynecologic surgery. A 42-year-old woman with abdominal pain and distention underwent exploratory laparotomy. She had undergone laparoscopic gynecologic surgery 6 days ago. During the procedure, a sigmoid colon perforation was found as well as severe inflammation at the pelvic cavity. The patient underwent segmental resection of the sigmoid colon with loop ileostomy. Postoperative acute abdomen did not show classic signs on physical examination and diagnostic imaging. Thus, a more careful approach and interpretation of diagnosis was needed.
