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Rare Cause of Intestinal Obstruction After Laparoscopic Radical Nephrectomy: Internal Herniation via a Mesenteric Defect

A 43-year-old man had painless macroscopic hematuria and was diagnosed with a 9-cm renal carcinoma in the lower pole of the left kidney. He underwent laparoscopic transperitoneal left radical nephrectomy (LRN) with an uneventful recovery. Eleven days later, he developed intestinal obstruction (IO)....

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Published in:	Urology (Ridgewood, N.J.) N.J.), 2008-09, Vol.72 (3), p.716.e13-716.e14
Main Authors:	Wong, Joelle F.S, Ho, Henry S.S, Tan, Y.H, Cheng, Christopher W.S
Format:	Article
Language:	English
Subjects:	Adult Carcinoma, Renal Cell - complications Carcinoma, Renal Cell - surgery Hematuria - diagnosis Hernia - etiology Humans Intestinal Obstruction - etiology Intestinal Obstruction - pathology Kidney - pathology Kidney Neoplasms - complications Kidney Neoplasms - surgery Laparoscopy - adverse effects Male Mesentery - pathology Nephrectomy - adverse effects Urology
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description	A 43-year-old man had painless macroscopic hematuria and was diagnosed with a 9-cm renal carcinoma in the lower pole of the left kidney. He underwent laparoscopic transperitoneal left radical nephrectomy (LRN) with an uneventful recovery. Eleven days later, he developed intestinal obstruction (IO). Abdominal computed tomography scan showed dilated small bowels occupying the left renal fossa. Laparotomy revealed closed-loop small bowel obstruction resulting from internal intestinal herniation via a 5-cm mesenteric defect. It was repaired after the herniated bowels were reduced. This case illustrates a rare cause of IO after LRN, in which mesenteric defect is necessary.
doi_str_mv	10.1016/j.urology.2007.12.028
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subjects	Adult Carcinoma, Renal Cell - complications Carcinoma, Renal Cell - surgery Hematuria - diagnosis Hernia - etiology Humans Intestinal Obstruction - etiology Intestinal Obstruction - pathology Kidney - pathology Kidney Neoplasms - complications Kidney Neoplasms - surgery Laparoscopy - adverse effects Male Mesentery - pathology Nephrectomy - adverse effects Urology
title	Rare Cause of Intestinal Obstruction After Laparoscopic Radical Nephrectomy: Internal Herniation via a Mesenteric Defect
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