title: Conservative treatment of a huge abdominal wall hematoma after laparoscopic appendectomy.
abstract: 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.
authors.affiliation: Department of Gastrointestinal Surgery, Hospital Universitario de Canarias (HUC), Canary Islands, Spain.
authors.forename: Eudaldo M López-Tomassetti
authors.initials: EM
authors.lastname: Fernández
authors.forename: Antonio Martín
authors.initials: AM
authors.lastname: Malagón
authors.forename: Iván
authors.initials: I
authors.lastname: Arteaga
authors.forename: Hermógenes
authors.initials: H
authors.lastname: Díaz
authors.forename: Angel
authors.initials: A
authors.lastname: Carrillo
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents