Iatrogenic Pseudoaneurysm after Laparoscopic Bilateral Inguinal Hernia Surgery: Treatment with Endovascular Coil Embolization

Abstract

Although laparoscopic interventions have provided significant achievements in hernia surgery, they may cause complications such as pain, hematoma, intestinal injuries, testicular complications, and sometimes arterial pseudoaneurysms. Arterial pseudoaneurysms are a very rare complication of laparoscopic inguinal hernia surgery. Pseudoaneurysms have serious various causes such as inflammation, trauma, and iatrogenic injury. The patient was diagnosed with bilateral inguinal hernia and a laparoscopic total extra-peritoneal repair was completed. Pelvic bleeding developed on the first postoperative day. A pseudoaneurysm that was 80x70x50 cm was detected in an abdominal computer tomography angiography. In this case because of having high rate morbidity and mortality of open surgery, we selected endovascular angioembolization instead of open surgery in the treatment of pseudoaneurysm which occurred after laparoscopic inguinal hernia surgery