Volvulus caused by a free intraperitoneal staple after laparoscopic appendectomy: A case report

Abstract

HighlightsFree intraperitoneal staples are usually inert but can have complications.Early obstructive symptoms after appendectomy should warrant prompt work-up.Volvulus can occur due to free staples after laparoscopic appendectomy.Small bowel necrosis due to a free malformed staple required small bowel resection.We recommend removing free staples when seen in order to prevent complications.

Atypical clinical presentation of mechanical small bowel obstruction with superior mesenteric vein occlusion caused by a retained free intraperitoneal staple after laparoscopic appendectomy: A case report

“…Several reports have described retained staples causing SBO not only after appendectomy but also after hysterectomy. [2][3][4][5] However, no reports have described simultaneous SMV occlusion and SBO. To the best of our knowledge, this is the first case report of SBO with SMV occlusion caused by a retained free staple.…”

“…In this case, a metal staple after LSA induced intra‐abdominal adhesion, resulting in SBO and SMV occlusion. Several reports have described retained staples causing SBO not only after appendectomy but also after hysterectomy . However, no reports have described simultaneous SMV occlusion and SBO.…”

“…Laparoscopic stapling devices are safe and powerful tools; however, a few reports have described postoperative SBO induced by surgical staples after LSA. [2][3][4] We herein report a case of mechanical SBO with superior mesenteric vein (SMV) occlusion caused by a free retained staple after LSA. The SBO was successfully treated by laparoscopic surgery without bowel resection.…”

“…Laparoscopic appendectomy (LSA) is one of the most common surgical procedures, and linear staplers are often used to resect and close the appendiceal/cecal stump. Laparoscopic stapling devices are safe and powerful tools; however, a few reports have described postoperative SBO induced by surgical staples after LSA …”

Postoperative small bowel obstruction secondary to single malformed staple following laparoscopic total abdominal colectomy

“…[ 5 ] estimate an incidence as high as 1.8% following laparoscopic surgery requiring surgical stapler use. Risk reduction measures include appropriate selection of stapler cartridge and size and close examination of the staple line with removal of any visualized malformed staples [ 3 ]. In patients presenting with early postoperative small bowel obstruction following laparoscopic colectomy, staple-related adhesive disease should be considered.…”