Ceacal Appendage Incarceration through the 8 mm Portal after Salvage Robotic Pelvic Lymphadenectomy

Abstract

Background: Biochemical relapse after radical prostatectomy can be found in a large number of cases. Salvage lymphadenectomy is a safe procedure that has been proposed through years in patients with nodal recurrence. We aim to present an unusual post operative complication in this scenario. Case Report: A patient has been submitted to robotic salvage lymphadenectomy. At the fifth post operative day started with drainage of high volume serous liquid through portal trocars. TC scan was performed and shows appendage herniation through trocar incision, with normal laboratory findings. Attempts were made to reduce the tip of the appendix into the abdominal cavity, without success. opted to perform laparoscopic appendectomy. Conclusion: Our case shows a different complication after robotic salvage lymphadenectomy. Radiologic exams help in diagnosis and treatment planning. In such cases, surgical procedure is mandatory with good outcomes.