Abstract
Although vascular injury during laparoscopic surgery is rare, it is occasionally reported. Previously, several physicians have reported cases of compartment syndrome resulting from a thrombus during gynecologic surgery. However, few reports describe thrombosis occurring in artery vessels as a result of applying angiopressure. Herein, we report the case of a 53-year-old woman with endometrioid carcinoma and a vascular injury that resulted in thrombus formation; this is the first such case to be reported. The complication was successfully treated by means of direct anastomosis following partial resection of the injured iliac artery. This is the first report of a case in which applying angiopressure for a vascular injury during laparoscopic pelvic lymphadenectomy led to an intra-arterial thrombus which was found and treated without sequelae.
Highlights
Invasive laparoscopic surgery has become the mainstream surgical intervention worldwide
We report a case of thrombosis of the right iliac artery caused by an injury to the right external iliac artery, which occurred while the lymph node was being dissected during laparoscopy
The complication was successfully managed entirely by means of direct anastomosis following partial resection of the injured iliac artery. This is the first report of a case in which applying angiopressure for a vascular injury during laparoscopic pelvic lymphadenectomy led to an intra-arterial thrombus which was found and treated without sequelae
Summary
Invasive laparoscopic surgery has become the mainstream surgical intervention worldwide. The field of gynecologic surgery is no exception, as minimally invasive gynecology has gained enormous momentum within the specialty. We report a case of thrombosis of the right iliac artery caused by an injury to the right external iliac artery, which occurred while the lymph node was being dissected during laparoscopy. The complication was successfully managed entirely by means of direct anastomosis following partial resection of the injured iliac artery. To our knowledge, this is the first report of a case in which applying angiopressure for a vascular injury during laparoscopic pelvic lymphadenectomy led to an intra-arterial thrombus which was found and treated without sequelae
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