Vascular complications following laparoscopy: two unusual cases.
BACKGROUND
Vascular complications following laparoscopic techniques may often be attributed to the incomplete control of bleeding sites at laparoscopy. When confronted with post-laparoscopy symptoms of hemodynamic insufficiency, the surgeon may infer the existence of hemorrhagic complications neglected at the laparoscopic session.


METHODS
The author reviewed two otherwise normal cases of laparoscopic procedures that were complicated by bleeding disorders of unknown origin.


RESULTS
Diagnosis and treatment of the hematologic complications revealed causes other than operator-inflicted injury.


CONCLUSIONS
While laparoscopists should remain vigilant concerning the very real threat of overlooked vascular injury following laparoscopy, some patients may exhibit hemorrhagic symptoms unrelated to the laparoscopic procedure.
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Department of Research and Development, Northwest Hospital, Seattle, WA 98133, USA.
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002764:Cholecystitis / Q000175:diagnosis / Q000601:surgery; D004322:Drainage; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008875:Middle Aged; D010048:Ovarian Cysts / Q000175:diagnosis / Q000601:surgery; D019106:Postoperative Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents