Internal hernia secondary to robotic assisted laparoscopic prostatectomy and extended pelvic lymphadenectomy with skeletonization of the external iliac artery

摘要

An internal hernia beneath skeletonized pelvic vasculature is a rarecomplication of any surgical procedure that has only been described in6 prior cases worldwide. Still to our knowledge, only 1 prior case hasbeen described as a strangulated small bowel internal herniation underneath a skeletonized external iliac artery after a robotic-assistedradical prostatectomy and extended pelvic lymph node dissection(ePLND). Viktorin-Baier et al. described such a case in which they repaired the herniation with resection of the bowel and resection of theelongated external iliac artery with end-to-end anastomosis.1 Now, inthe United States, we have seen a nearly identical presentation in apatient who developed internal hernia beneath the skeletonized rightexternal iliac artery 1 year after robotic-assisted laparoscopic prostatectomy with ePLND.