Intra-abdominal and abdominal wall haematoma from 5 mm port insertion site in laparoscopic cholecystectomy

Bijan Mohammadhosseini; Shahram Shirani

doi:10.5114/wiitm.2011.24695

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abstract:

Case report

Intra-abdominal and abdominal wall haematoma from 5 mm port insertion site in laparoscopic cholecystectomy

Bijan Mohammadhosseini

,

Shahram Shirani

Videosurgery and other miniinvasive techniques 2011; 6 (3): 164-166

DOI: https://doi.org/10.5114/wiitm.2011.24695

Online publish date: 2011/09/30

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Trocar insertion is an essential and initial part in any laparoscopic procedure. Inadvertent abdominal wall vascular injury, leading to intra-abdominal bleeding or abdominal wall haematoma due to trocar insertion, may occur at this first step. We report here a case of uneventful laparoscopic cholecystectomy in a 44-year-old woman, which was followed later by large abdominal wall haematoma through the 5 mm trocar insertion site. Emergency laparotomy was needed to control the bleeding. Delayed abdominal wall haematoma can occur even with most lateral, 5 mm trocar insertions. Learning abdominal wall vascular anatomy, transilluminating the abdominal wall before trocar insertion and entering the abdominal cavity at a right angle may decrease the possibility of this complication.

keywords:

Intra-abdominal and abdominal wall haematoma from 5 mm port insertion site in laparoscopic cholecystectomy

Bijan Mohammadhosseini , Shahram Shirani

haematoma, laparoscopy, port, abdominal wall, complication

Bijan Mohammadhosseini

,

Shahram Shirani