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: Eudaldo M López-Tomassetti Fernández, Antonio Martín Malagón, Iván Arteaga, Hermógenes Díaz, Angel Carrillo
• Journal: Journal of laparoendoscopic & advanced surgical techniques. Part A (J Laparoendosc Adv Surg Tech A) Vol. 15 Issue 6 Pg. 634-7 (Dec 2005) ISSN: 1092-6429 [Print] United States
• PMID: 16366874 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Bacterial Agents

Topics

• Abdominal Wall (blood supply)
• Adult
• Anti-Bacterial Agents (therapeutic use)
• Appendectomy (adverse effects)
• Hematoma (diagnostic imaging, drug therapy, etiology)
• Humans
• Intraoperative Complications (diagnostic imaging, drug therapy, etiology)
• Laparoscopy (adverse effects)
• Male
• Ultrasonography