Small bowel perforation after drawing a blood sample in the femoral artery: a case report.
Small bowel perforation is a rare complication of femoral artery access in cases of femoral hernia. A 48-year-old woman was admitted to the intensive care unit due to pulmonary insufficiency. After a routine femoral arterial blood gas analysis, severe abdominal pain and nausea began. She underwent emergency laparotomy due to acute abdomen. Laparotomy revealed small bowel perforation. Segmental resection and end-to-end anastomosis were performed. The femoral canal was closed using plaque mesh. Special attention is needed during femoral artery access to avoid accidental small bowel perforation. As seen in this case, a careful examination should be done in cases of femoral hernia.
Department of General Surgery, Inönü University Faculty of Medicine, Malatya, Turkey. cara@inonu.edu.tr
Cengiz
C
Ara
Sacid
S
Coban
Burak
B
Işik
Canan Ceran
CC
Ozcan
Sezai
S
Yilmaz
D001784:Blood Gas Analysis / Q000379:methods; D001800:Blood Specimen Collection / Q000009:adverse effects*; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D006547:Hernia / Q000209:etiology; D059685:Herniorrhaphy; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*; D007421:Intestine, Small / Q000000981:diagnostic imaging / Q000293:injuries*; D007813:Laparotomy; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000097:blood; D011859:Radiography