Splenic lesion as a complication of laparoscopy. Case report.
A case of splenic lesion is reported in a 48-year-old female patient who underwent an uneventful diagnostic laparoscopy. Symptoms suggesting massive intraabdominal bleeding occurred 5 hours later. Intraoperatively, a small posterior splenic lesion was found, which could be repaired using fibrin glue. This protracted complication must have occurred while establishing the pneumoperitoneum; its cause is unclear, but distortion and stretching of small adhesions of the spleen with the abdominal wall may have played a role. Although rare, this complication should be considered when a patient deteriorates after an uneventful laparoscopy.
Mahlke
R
R
Department of Internal Medicine, Municipal Hospital of Lüneburg, Bundesrepublik Deutschland.
Bogusch
G
G
Lankisch
P G
PG
D004630:Emergencies; D005260:Female; D006465:Hemoperitoneum / Q000209:etiology* / Q000601:surgery; D006488:Hemostasis, Surgical; D006801:Humans; D020706:Laparoscopes; D008875:Middle Aged; D013154:Spleen / Q000293:injuries* / Q000601:surgery