A Case of Intestinal Obstruction due to Strangulation by the Left External Iliac Artery Exposed by Robot-assisted Total Prostatectomy

Key Points

• To report a rare case of intestinal obstruction caused by strangulation from the left external iliac artery following robot-assisted prostatectomy.
• Reported a case involving a 75-year-old male with a history of robot-assisted prostatectomy.
• Diagnosed intestinal obstruction through abdominal contrast CT.
• Emergency surgery was performed to address the obstruction.
• Found a segment of the small intestine trapped between the left external iliac artery and abdominal wall.
• A laparoscopic attempt for reduction was unsuccessful, leading to conversion to open surgery.
• Approximately 30 cm of the small intestine was necrotic and required resection followed by functional end-to-end anastomosis.
• Postoperative recovery was favorable, with discharge occurring 9 days post-surgery.