Cecal bascule after laparoscopic ventral hernia repair

Abstract

Introduction: We present a case of a cecal bascule, a rare type of cecal volvulus, as a complication of a laparoscopic ventral hernia repair. Case Description: A 73-y-old male with a ventral hernia underwent an uneventful elective laparoscopic repair. He developed an acute abdomen on postoperative day 6, and imaging demonstrated a cecal bascule. Exploratory laparotomy revealed a cecal bascule with an ischemic and perforated cecum, and a right hemicolectomy was performed. Discussion: Laparoscopic tension-free ventral hernia repairs have become more common, especially for obese patients. We discuss some risk factors that can predispose a patient to having a cecal volvulus postoperatively. Although cecal volvulus is a very rare complication after laparoscopic surgery, it can result in serious complications. © 2013 by JSLS, Journal of the Society of Laparoendoscopic Surgeons.