INTRODUCTION: In contrast to right colectomy, closure of the mesocolic gap after laparoscopic left colectomy is not practiced, and reports of small gut herniation through this gap are scarce. PRESENTATION OF CASE: A 73 year old male was admitted as an emergency with symptoms and clinical signs, suggesting obstruction of the small bowel. Abdominal imaging, including computed tomography confirmed the diagnosis. The @entity1 had undergone laparoscopic left colectomy for @entity5 , three years ago. At laparotomy small bowel loops were found to herniate through the mesocolic defect at the level of the colonic @entity254 . The small bowel loops were reduced and their viability was ascertained. Because of an iatrogenic perforation of the colon at the @entity254 during small bowel loops mobilization, the colon was temporarily exteriorized in the form of a double barrel colostomy. The postoperative course was uneventful. DISCUSSION: Very few cases have been reported in the liteature indicating the need of sutuing the mesenterium. Despite the limited numbe of the reported cases, there is clearly a risk of @entity547 after laparoscopic left colectomy. CONCLUSION: Although rare @entity547 after laparoscopic left colectomy may occur, and this brings forward the question of mesocolic gap closure.

XXXX after laparoscopic left colectomy report of case with late manifestation.

@entity1 :: ('9606', 'Species') :: ['patient'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity547 :: ('MESH:D006547', 'Disease') :: ['internal hernia', 'intenal hernia']
@entity547 :: (MESH:D006547,Disease) :: ['Internal-mesocolic hernia']
