Small bowel herniation underneath the iliac vessel after transperitoneal pelvic lymphadenectomy is a rare complication. This report describes the first case of bowel incarceration behind the external iliac artery after transperitoneal robotic-assisted radical prostatectomy with extended lymph node dissection in a patient with prostate cancer 1 year after surgery. After diagnosis on CT scan, an open resection of the ischemic bowel was performed. Because of thrombosis, the external iliac artery was opened, the clot was removed and the elongated artery was resected with end-to-end anastomosis. In case of a meandering iliac artery, a retroperitonealization after pelvic lymphadenectomy might be discussed.
Urology case reports. 2016 Jun 04*** epublish ***
Pascal Viktorin-Baier, Marco Randazzo, Cristoforo Medugno, Hubert John
Department of Urology, Kantonsspital Winterthur, 8400 Winterthur, Switzerland., Department of Urology, Kantonsspital Winterthur, 8400 Winterthur, Switzerland., Department of Surgery, Kantonsspital Frauenfeld, Frauenfeld, Switzerland., Department of Urology, Kantonsspital Winterthur, 8400 Winterthur, Switzerland.