Journal Article

Volvulus with bowel necrosis after laparoscopic appendectomy. Migration of Clip?

Diganta Kakaty, Katharina Mueller, Falk Weippert and Roland Zengaffinen

in Journal of Surgical Case Reports

Volume 2018, issue 5 ISSN: N/A
Published online May 2018 | e-ISSN: 2042-8812 | DOI: https://dx.doi.org/10.1093/jscr/rjy093
Volvulus with bowel necrosis after laparoscopic appendectomy. Migration of Clip?

More Like This

Show all results sharing this subject:

  • Gastro-intestinal and Colorectal Surgery

GO

Show Summary Details

Preview

Abstract

About 2.8% of patients develop small bowel obstruction, mostly following an open approach appendectomy. Case Report: we present an 18-year-old girl with acute abdomen 10 days following laparoscopic appendectomy. An emergency laparotomy was performed which revealed bowel necrosis and an impacted slipped clip on the mesenterial side of the bowel with signs of bowel strangulation and necrosis. Bowel resection was carried out with primary enteroenteric anastomosis. We suspect the sharp ends of the open clip allowed it to become lodged in the bowel segment resulting in bowel obstruction and subsequent necrosis. It is possible that the clip migrated or was a failed deployment. To our knowledge, this is the first report of mechanical bowel obstruction after laparoscopic appendectomy caused by aberrant surgical clip.

Journal Article.  903 words.  Illustrated.

Subjects: Gastro-intestinal and Colorectal Surgery

Full text: subscription required

How to subscribe Recommend to my Librarian

Users without a subscription are not able to see the full content. Please, subscribe or login to access all content.