A Case of Strangulated Bowel Obstruction due to Peritoneal Suture Dehiscence after Laparoscopic Inguinal Hernia Repair

Abstract

A 91-year-old male developed bowel obstruction four days after TAPP surgery for a left external inguinal hernia. Computed tomography (CT) showed the tapering and obstruction of the small intestine around the TAPP surgical site. The patient experienced abdominal distention and repeated vomiting. Therefore, laparoscopic surgery was performed after decompression using a long intestinal tube. Peritoneal suture dehiscence and small intestinal incarceration in the preperitoneal space were observed intraoperatively. Furthermore, the small intestine was perforated. We flushed the abdominal cavity with a large volume of physiological saline solution after the resection of the small intestine, and repaired the peritoneal hiatus using a prosthetic mesh. Reports describing intestinal obstruction due to peritoneal suture dehiscence after TAPP surgery are limited and cases complicated by bowel perforation are rare. Herein, we report a rare case in a literature review.