Conservative treatment of a huge abdominal wall hematoma after laparoscopic appendectomy.
We report a case of a 30-year-old male patient who presented with a huge abdominal wall hematoma 60 minutes after laparoscopic appendectomy. During surgery there had been no sign of abdominal wall bleeding. We found a lateral abdominal wall hematoma caused by rupture of the abdominal epigastric artery after trocar insertion. We conclude that trocar injury is a potentially preventable complication in laparoscopic surgery if certain precautions are taken. Abdominal wall hematoma secondary to injury of an epigastric vessel can be successfully treated with conservative management.
Fernández
Eudaldo M López-Tomassetti
EM
Department of Gastrointestinal Surgery, Hospital Universitario de Canarias (HUC), Canary Islands, Spain.
Malagón
Antonio Martín
AM
Arteaga
Iván
I
Díaz
Hermógenes
H
Carrillo
Angel
A
D034861:Abdominal Wall / Q000098:blood supply*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001062:Appendectomy / Q000009:adverse effects*; D006406:Hematoma / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007431:Intraoperative Complications / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D014463:Ultrasonography
D000900:Anti-Bacterial Agents