Case Report
Copyright ©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Nov 28, 2008; 14(44): 6881-6883
Published online Nov 28, 2008. doi: 10.3748/wjg.14.6881
Strangulated small bowel hernia through the port site: A case report
Jun Hyun Lee, Wook Kim
Jun Hyun Lee, Wook Kim, Department of Surgery, Holy Family Hospital, College of Medicine, The Catholic University of Korea, Bucheon 420-717, South Korea
Author contributions: Lee JH and Kim W contributed equally to this work; Lee JH took charge of preparation of the manuscript, literary review and photography; Kim W was an operating surgeon in this case and took charge of manuscript revisions, literary review and is the corresponding author.
Correspondence to: Wook Kim, MD, PhD, Professor & Chief, Department of Surgery, Holy Family Hospital, College of Medicine, The Catholic University of Korea. 2 Sosa Dong, Wonmi Gu, Bucheon City, Gyunggi Do 420-717, South Korea. kimwook@catholic.ac.kr
Telephone: +82-32-3407022 Fax: +82-32-3402036
Received: September 13, 2008
Revised: October 31, 2008
Accepted: November 7, 2008
Published online: November 28, 2008
Abstract

Port site hernia develops through a fascial or peritoneal layer that was inadequate or not repaired. It is a rare complication of laparoscopic surgery which may lead to serious problems. Here, we present a 77-year-old female, diagnosed with a small bowel hernia through a 10-mm port site. We had performed ten cases of laparoscopy-assisted distal gastrectomy before this case. The patient complained of left lower abdominal pain with a palpable mass. Abdominal CT showed an incarcerated small bowel hernia and the patient underwent segmental resection of the strangulated small bowel through a minimally extended port site incision.

Keywords: Port site hernia; Strangulated small bowel; Minimally extended port site incision