Early intestinal obstruction after lap appendectomy. A curious cause.

A very interesting case. 35 /F presented with acute appendicitis. Underwent Lap appendectomy. On 3rd POD she developed features of intestinal obstruction. Initially managed conservatively. But not improved. 5th POD CECT could reveal small bowel obstruction. But couldn’t reveal the reason. Taken for diag Lap. On putting the scope a loop of small bowel herniating through a defect in left mesosalpinx. Hernia reduced and defect closed laparoscopically.

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Hernia should be kept in mind during abdominal particularly pelvic manipulations. Nice utilization of diagnostic kit
Diagnostic tools important give a thought on open appendectomy nice work
Nice case.. advantage of diagnostic laproscopy
Thanking you for nice case