Abstract

Matteo Luisetto, Dr. Sorin Cimpean*, Marechal Marie-Therese, Benjamin Cadiere, Guy-Bernard Cadiere and Byabene Gloire a Dieu

ABSTRACT

Introduction: Internal hernia of the small bowel underneath the pelvic vessels is a very rare complication after prostatectomy with pelvic lymph nodes dissection. Case presentation: We reported a case of a 57-year-old man who was admit in our hospital for acute abdominal pain four months after prostatectomy with pelvic lymph node dissection. The preoperative exam revealed an internal hernia under the external iliac artery with bowel necrosis. We performed a laparoscopic gap closure with a peritoneal flap and bowel resection. Discussion: Internal hernia account for 0,5 to 5,8% of all small bowel obstruction. An internal hernia underneath the squeletized iliac vessels is a very rare complication after extended pelvic lymph node dissection with few cases described in the literature. Conclusion: The laparoscopic approach is an optimal technique allowing to perform the defect closure and in the same time providing all the advantages of the laparoscopy.