A case of laparoscopic complication: injury of the left common iliac vessels and subsequent acute compartment syndrome of the left leg.
A 45-year-old Japanese woman underwent a laparoscopy-assisted vaginal hysterectomy. Insertion of a trocar injured the left common iliac artery and vein, which were repaired within 2.5 hours. Postoperatively the patient presented an acute compartment syndrome of the left leg. Fasciotomy and rehabilitation rescued her from functional disturbances.
Honda
T
T
Department of Obstetrics and Gynecology, Kyoto National Hospital, Japan.
Tokushige
M
M
Uda
S
S
Egawa
H
H
Suginami
H
H
D000208:Acute Disease; D003161:Compartment Syndromes / Q000209:etiology*; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects*; D007083:Iliac Artery / Q000293:injuries*; D007084:Iliac Vein / Q000293:injuries*; D010535:Laparoscopy / Q000009:adverse effects*; D007866:Leg; D008875:Middle Aged