Journal of Gastric Cancer  2012;12(1):46-48

doi:10.5230/jgc.2012.12.1.46

Diagnosis of a Trocar Site Mass as Omental Herniation after Laparoscopic Gastrectomy.

Sang Ho JEONG 1 ; Young Joon LEE ; Dong Chool KIM ; Kyungsoo BAE ; Sang Kyung CHOI ; Soon Chan HONG ; Eun Jung JUNG ; Young Tae JU ; Chi Young JEONG ; Woo Song HA

Affiliations

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Keywords

Omentum; Hernia; Trocar; Gastric neoplasms; Laparoscopy

Country

Republic of Korea

Language

English

Abstract

A trocar site hernia is a rare complication. We report a patient who had an abdominal wall mass at a previous trocar site after laparoscopic distal gastrectomy. It was diagnosed as omental herniation and fat necrosis. We conclude that patients with trocar site masses exhibiting fat density on a computed tomography scan could be followed up without surgery, and that fascial defects located at 10-mm or larger trocar sites should be closed whenever possible to prevent hernia formation.