Severe spontaneous properitoneal hemorrhage following ventral hernia repair caused by viral infection: report of a case.
The authors report a case of severe spontaneous hemorrhage in a patient who underwent surgical repair of an upper umbilical ventral hernia with placement of a polypropylene mesh. On the third postoperative day the patient experienced bleeding in the properitoneal space (above and below the mesh), which spread up to and along the retroperitoneal area, causing severe hypovolemic shock. Postoperative investigations finally identified a virus as the cause of the complication.
Molino
C
C
Department of General Surgery, Azienda Ospedaliera di Rilievo Nazionale (A.O.R.N.), A. Cardarelli, Naples, Italy. carlomolino@aliceposta.it
Pisaniello
D
D
Castriconi
M
M
Romagnolo
G
G
Monte
G
G
Chianese
F
F
De Sena
G
G
D000328:Adult; D003384:Coxsackievirus Infections / Q000150:complications*; D029822:Enterovirus B, Human; D006470:Hemorrhage / Q000821:virology*; D006555:Hernia, Ventral / Q000601:surgery; D006801:Humans; D008297:Male; D010322:Parvoviridae Infections / Q000150:complications*; D016732:Parvovirus B19, Human; D010532:Peritoneal Diseases / Q000821:virology*; D011183:Postoperative Complications / Q000821:virology*; D012088:Reoviridae Infections / Q000150:complications*; D012720:Severity of Illness Index