Cardiovascular collapse after laparoscopic liver biopsy.
We describe a unique complication of laparoscopic liver biopsy. The increased intra-abdominal pressure associated with carbon dioxide pneumoperitoneum produced haemodynamic stability by tamponading a trochar-induced retroperitoneal haemorrhage. After deflation of the abdomen, release of the tamponade resulted in acute cardiovascular collapse. Other complications associated with laparoscopic surgery are also discussed.
Shaughnessy
T E
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Department of Anesthesia, University of California, San Francisco Medical Center, 94143, USA.
Raskin
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D001706:Biopsy / Q000009:adverse effects; D016063:Blood Loss, Surgical; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008099:Liver / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D011028:Pneumoperitoneum, Artificial; D012187:Retroperitoneal Space; D012773:Shock, Surgical / Q000209:etiology*