Strangulated small bowel obstruction caused by isolated obturator nerve and pelvic vessels after pelvic lymphadenectomy in gynecologic surgery: two case reports

Surgical Case Reports

Table 1 Reported cases of strangulated small bowel obstruction after pelvic lymphadenectomy

Year	Age/sex	Cancer	Original approach	Duration	Hernia orifice	Treatment	Bowel resection
1978 [12]	52/M	Testicular	Open	4 months	Rt CIA	Open	Yes
2008 [13]	67/F	Cervical	Laparoscopic	3 months	Rt EIA	Open	Yes
2013 [17]	56/F	Ovarian	Laparoscopic	4 years	Lt EIA	Lap	No
2014 [18]	39/F	Cervical	Laparoscopic	2 years	Rt CIA	Lap to open	Yes
2015 [24]	50/M	Bladder	Robot	5 months	Rt CIA	Open	Yes
2016 [25]	50/M	Prostate	Robot	1 year	Lt EIA	Open	Yes
2018 [19]	38/F	Cervical	Laparoscopic	6 months	between Rt UA and ON	Lap	No
2018 [29]	68/M	Rectal	Laparoscopic	4 months	Rt SVA	N/A	Yes
2018 [29]	59/M	Rectal	Laparoscopic	2 months	Rt SVA	Lap	Yes
2018 [26]	64/M	Prostate	Robot	1 year	Rt EIA	Lap to open	Yes
2019 [27]	72/M	Prostate	Robot	2 months	Lt EIA	Open	Yes
2020 [30]	63/M	Rectal	Robot	1 month	Rt ON	Lap	Yes
2020 [28]	78/M	Bladder	Laparoscopic	38 months	Rt ON	Open	Yes
2020 [20]	68/F	Endometrial	Laparoscopic	7 years	between Rt EIA and EIV	Open	Yes
2020 [21]	53/F	Cervical	Laparoscopic	1 month	Rt SVA	Open	Yes
2021 [22]	46/F	Cervical	Laparoscopic	9 years	Lt EIA/V	Lap to open	No
2021 [23]	67/F	Ovarian	N/A	6 years	Rt EIA/V	Lap	No
2022	57/F	Endometrial	Laparoscopic	9 months	Rt UA/ON	Lap to open	Yes
2022	62/F	Cervical	Laparoscopic	6 months	Rt UA	Lap to open	Yes

Duration stands for the time from the original surgery to the internal hernia surgery
Lap, laparoscopic surgery; Open, open surgery; Robot, robot-assisted surgery; Rt, right; Lt, left; CIA, common iliac artery; EIA/V, external iliac artery/vein; UA, umbilical artery; ON, obturator nerve; SVA, superior vesical artery; N/A, not applicable