Abstract
Thermal injury on vascular walls can result in delayed rupture of vessels. This can be a cause of life threatening reactionary haemorrhage. Increasing use of energy devices in laparoscopic surgeries can rarely result in such events which may have devastating consequences. Careful usage of these heat generating energy sources can prevent such incidences and prompt resuscitation and haemorrhage control are lifesaving. We present a case report of a severe haemorrhage from blow out of superior mesenteric artery following laparoscopic para-aortic lymph node biopsy.
Highlights
Intra-abdominal hemorrhage is a common cause of hypovolemic shock in the post-operative period following abdominal surgeries.[1,2] Delay in resuscitation and control of bleeding can be life threatening
Reactionary haemorrhage following laparoscopic abdominal surgeries can be due to several causes which were not seen in open surgical era such as opening up of bleeders which had been concealed by the tamponade effect of pneumoperitoneum, slipped clips and effects of thermal injury on vessel walls.[1,2]
We report a case of life threatening reactionary intra abdominal bleeding after laparoscopic biopsy of an abdominal mass, possibly due to thermal effects on arterial wall
Summary
Intra-abdominal hemorrhage is a common cause of hypovolemic shock in the post-operative period following abdominal surgeries.[1,2] Delay in resuscitation and control of bleeding can be life threatening. - Massive Reactionary Haemorrhage Due to Superior Mesenteric Artery Blowout Following Laparoscopic Biopsy of Retroperitoneal Mass - A Case Report camera port and 4 working ports. Patient was managed in the intensive care unit ICU for 3 days with transfusion of blood and blood products, during his hospital stay he acquired a pneumonia which required intra venous antibiotics and ultrasound guided drainage of pleural effusion. He recovered completely and was started on normal diet on day 3 and discharged on 18th day from initial surgery.
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