Richter's hernia in a 5-mm trocar site

A 59-year-old woman underwent laparoscopic staging surgery for uterine malignant tumors and recovered well. However, nausea and vomiting occurred on the eighth day after operation, and her anal exhaust did not stop. A soft mass was touched in the subcutaneous tissue of the left lower abdomen during physical examination.The "spring sign" was indicated on the plain film (Fig. 1-A). Ultrasound suggested that the weak echo area (Fig. 1-B Fig. 2 Fig. 3) could be detected in the muscular layer,and connected to the abdominal cavity through a"channel"with an inner diameter of about 0.7cm.Abdominal CT scan revealed left lower abdominal wall hernia (Fig.

Source: The Journal of Minimally Invasive Gynecology - September 15, 2019 Category: OBGYN Authors: Cheng-Zhi Zhao, Lu-Bin Liu Tags: Images in Gynecological Surgery Source Type: research