Journal of Gastric Cancer

The Korean Gastric Cancer Association (대한위암학회)
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Diagnosis of a Trocar Site Mass as Omental Herniation after Laparoscopic Gastrectomy

  • Jeong, Sang-Ho (Department of Surgery, Gyeongsang National University School of Medicine) ;
  • Lee, Young-Joon (Department of Surgery, Gyeongsang National University School of Medicine) ;
  • Kim, Dong-Chool (Department of Pathology, Gyeongsang National University School of Medicine) ;
  • Bae, Kyung-Soo (Department of Diagnostic Radiology, Gyeongsang National University School of Medicine) ;
  • Choi, Sang-Kyung (Department of Surgery, Gyeongsang National University School of Medicine) ;
  • Hong, Soon-Chan (Department of Surgery, Gyeongsang National University School of Medicine) ;
  • Jung, Eun-Jung (Department of Surgery, Gyeongsang National University School of Medicine) ;
  • Ju, Young-Tae (Department of Surgery, Gyeongsang National University School of Medicine) ;
  • Jeong, Chi-Young (Department of Surgery, Gyeongsang National University School of Medicine) ;
  • Ha, Woo-Song (Department of Surgery, Gyeongsang National University School of Medicine)
  • Received : 2012.01.14
  • Accepted : 2012.03.07
  • Published : 2012.03.30
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Abstract

A trocar site hernia is a rare complication. We report a patient who had an abdominal wall mass at a previous trocar site after laparoscopic distal gastrectomy. It was diagnosed as omental herniation and fat necrosis. We conclude that patients with trocar site masses exhibiting fat density on a computed tomography scan could be followed up without surgery, and that fascial defects located at 10-mm or larger trocar sites should be closed whenever possible to prevent hernia formation.

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References

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