title: [Bleeding caused by the trocar insertion through the umbilicus as a rare complication of laparoscopy].
abstract: The report of case in which bleeding from the anterior abdominal wall vessels occurred after the trocar insertion through the umbilicus. Directly after trocar removing there was insignificant bleeding from the trocar incision. Despite initial hemostasis with a suture ligation a postoperative blood loss and peritonitis syndrome necessitated transfusion and diagnostic laparoscopy. No vessel injury was localised during the subsequent laparoscopy. The bleeding originated from the trocar incision--a small artery was injured. The hemostasis suture was fastened. The reported case is a unique example of a laparoscopic complication. The umbilicus seemed to be a very safe localisation for the first trocar insertion--there are no reports of appearance of abdominal vessels within the umbilicus. Besides the suture ligation usually ensures an effective hemostasis--the diagnostic laparoscopy or laparotomy is are performed in exceptional situations.
authors.affiliation: II Kliniki Ginekologii i Połoznictwa w Akademii Medycznej w Gdańsku.
authors.forename: Dariusz
authors.initials: D
authors.lastname: Wydra
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Ciach
authors.forename: Sambor
authors.initials: S
authors.lastname: Sawicki
mesh_terms: D034861:Abdominal Wall / Q000473:pathology*; D000328:Adult; D001012:Aorta, Abdominal / Q000293:injuries / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D010532:Peritoneal Diseases / Q000175:diagnosis; D019106:Postoperative Hemorrhage / Q000209:etiology*; D013525:Surgical Instruments / Q000009:adverse effects*; D014472:Umbilicus / Q000473:pathology / Q000601:surgery*
vernacular_title: Krwawienie po wprowadzeniu troakaru w obrebie pierścienia pepkowego jako rzadkie powikłanie laparoskopii.