Sigmoid Colon Perforation after Laparoscopic Gynecologic Surgery: A Case Report
Journal of the Korean Society of Emergency Medicine
;
: 212-214, 2015.
Article
in Korean
| WPRIM
| ID: wpr-115316
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Physical Examination
/
Colon, Sigmoid
/
Gynecologic Surgical Procedures
/
Diagnostic Imaging
/
Ileostomy
/
Abdominal Pain
/
Laparoscopy
/
Diagnosis
/
Abdomen, Acute
/
Inflammation
Type of study:
Diagnostic study
Limits:
Adult
/
Female
/
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Emergency Medicine
Year:
2015
Type:
Article
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