CASE REPORT   

Chirurgia 2021 December;34(6):269-72

DOI: 10.23736/S0394-9508.21.05203-7

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Delayed presentation of trocar site hernia following single anastomosis sleeve-ileal (SASI) bypass

Reza EBRAHIMI ¹, Mohammad KERMANSARAVI ^{1, 2}, Amir H. DAVARPANAH JAZI ³, John BARTOLOTTA ⁴, Ali SHAYESTEH ⁴ ✉

¹ Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran; ² Center of Excellence of International Federation for Surgery of Obesity, Hazrat e Rasool Hospital, Tehran, Iran; ³ Minimally Invasive Surgery Research Center, Isfahan University of Medical Sciences, Isfahan, Iran; ⁴ Department of Surgery, Brooklyn Hospital Center, Brooklyn, NY, USA

A 56-year-old woman was admitted with intractable vomiting 3 months after Single Anastomosis Sleeve-Ileal (SASI) bypass without trocar site fascial repair. Laboratory data showed no abnormalities. An intravenous-oral CT scan of abdominopelvic region showed small bowel loop herniation through the 12mm left-sided trocar, where the specimen was extracted. As a result, a diagnostic laparoscopy was done. Due to the severe adhesions at the site of trocar site hernia, multiple serosal injuries were encountered during enterolysis so small bowel resection and primary anastomosis of a 5 cm segment of jejunum was performed. The symptoms subsided after surgery. We present the first case of trocar site hernia following the SASI bypass with late-onset presentation of postoperative emesis.

KEY WORDS: Hernia; Anastomosis, surgical; Jejunoileal bypass; Bariatric surgery