Strangulated Small Bowel Obstruction Secondary to Adhesions at the Peritoneal Suture Site after Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair —A Case Report—

Abstract

Wepresentacaseofstrangulatedsmallbowelobstructioninan80-year-oldmanwhounderwentleft inguinalherniarepairinMarch2017usingthetransabdominalpreperitoneal(TAPP)approach.Nocomplications were reported after TAPP repair, and he was discharged after postoperative day 2. He re-turned1yearand5monthslaterwithleft-sidedlowerabdominalpain.Computedtomographyrevealed strangulatedsmallbowelobstructionthatnecessitatedemergencysurgery.Strangulatedsmallbowelobstructionwascausedbyadhesionsobservedatthesiteofperitonealsutures,andnootheradhesionswere identified.Resectionofthestrangulatedbowelsegmentandadhesiolysiswereperformed,andanadhesion barrierwasappliedtothesuturesite.Notably,adhesionsatthesiteofperitonealsuturesmayoccasionally cause small bowel obstruction. It is recommended that an adhesion barrier be applied to the site of peritonealclosure.