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  • 693
  • 2010-04-15

Small bowel strangulation due to internal hernia after left colectomy

Epublication WebSurg.com, Apr 2010;10(04). URL:
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Internal small bowel herniation through a mesenteric defect is a rare but severe complication. The purpose of the video is to demonstrate the closure of a mesenteric defect following a full left colectomy. This closure is controversial, and when performed, the closure must be perfect. This is the case of a patient who underwent a left colectomy with defect closure, the latter had not been efficient and caused an obstruction syndrome postoperatively, which was well identified by the CT-scan. It identified a small bowel passage behind the lower colon. The patient is re-operated on the second postoperative day.