Small-bowel obstruction secondary to incarcerated trocar-site hernia after laparoscopic hysterectomy: A diagnostic challenge

Objective. To report an unusual complication of total laparoscopic hysterectomy. Setting. Gynaecology Department at Carmel Medical Centre, Haifa, Israel. Subject and interventions. A 40-year-old woman underwent total laparoscopic hysterectomy and developed small-bowel obstruction 3 days following the operation subsequent to incarcerated hernia through a 12-mm laparoscopic trocar wound. The diagnosis was eventually made with the aid of abdominal computerized tomography. Conclusion. All laparoscopic surgeons should be aware of this uncommon complication of operative laparoscopy, its clinical presentation, and the imaging modalities for its diagnosis.