Post-operative internal hernia through an orifice underneath the right common iliac artery after Dargent's operation

Hernia. 2014;18(6):907-9. doi: 10.1007/s10029-013-1129-0. Epub 2013 Jun 21.

Abstract

We report the case of a 39-year-old woman with ileus resulting from a small bowel incarceration underneath the right common iliac artery. The patient had a history of a radical trachelectomy with laparoscopic pelvic lymphadenectomy ("Dargent's operation") for cervical carcinoma. After dissection of the iliac vessels, a small bowel loop could slide underneath the common iliac artery. The hernia was closed by gluing a collagen patch over the right common iliac artery onto the retroperitoneal cavity. To our knowledge, such a case has not previously been reported in the medical literature.

MeSH terms

  • Adult
  • Cervix Uteri / surgery*
  • Female
  • Gynecologic Surgical Procedures / adverse effects*
  • Hernia / etiology*
  • Herniorrhaphy
  • Humans
  • Iliac Artery*
  • Intestinal Obstruction / etiology
  • Intestinal Obstruction / surgery
  • Laparoscopy
  • Lymph Node Excision
  • Uterine Cervical Neoplasms / surgery*