Hérnia encarcerada em orifício de trocarte lateral diagnosticada por tomografia computadorizada

• Autor(a) principal: Carvalho,Gustavo Lopes de
• Data de Publicação: 2005
• Outros Autores: Nunes Filho,Antonio Carlos Bacelar, Brasil Junior,Gerson Cesar
• Tipo de documento: Relatório
• Idioma: por
• Título da fonte: Revista do Colégio Brasileiro de Cirurgiões
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912005000300014
• topic: Small Bowel Obstruction; Laparoscopic Surgery; Postoperative Complications; Videolaparoscopic Hysterectomy; Incisional Hernia; Computed Tomography

Incisional hernia is an uncommon complication in laparoscopic surgery. The majority of the hernias are located in the umbilical site. Nevertheless, they can occur in the lateral trocar site, although they are rarely diagnosed. We report a case of a 55 year-old patient who underwent a videolaparoscopic hysterectomy and developed small bowel obstruction on the third postoperative day. This initially gave rise to the diagnosis of paralytic ileum. The definitive diagnosis of incarcerated hernia in the lateral trocar site was established after an abdominal computed tomography was performed.