Unnoticed biloma due to liver puncture after Veress needle insertion
| Autor: | Julio Reguera-Rosal, César Pablo Ramírez-Plaza, Francisco Javier Padillo-Ruiz, Juan José Segura-Sampedro, Jesús Cañete-Gómez |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty Percutaneous medicine.diagnostic_test business.industry medicine.medical_treatment General surgery Case Report Context (language use) General Medicine medicine.disease Surgery Pneumoperitoneum medicine Laparoscopy Cholecystectomy Complication business Veress needle Peroperative complications |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| DOI: | 10.1016/j.amsu.2015.07.016 |
| Popis: | Laparoscopic surgery has become more widespread in the last years. Creating the pneumoperitoneum is the first surgical procedure but it is still responsible for many of the adverse events described in this field. Until now, liver puncture producing a delayed biloma has not been described. We present a case where a biloma was developed after liver puncture by the Veress needle, during a laparoscopic procedure, and detected on the 3rd day. It was detected by CT scan and treated by laparoscopy. Biloma due to Veress needle is a new entity in the context of adverse events related to Veress needle insertion, which needs a high suspicious index. We recommend to do Palmer's test and to check the insertion and to look for possible lesions below with the camera in order to minimize incidence of such injuries. Should this happen, laparoscopic or percutaneous drainage are both suitable alternatives to solve this complication. Highlights • Laparoscopic pneumoperitoneum is still a technique associated to complications. • Veress needle may injury biliary conducts during entry that can be unnoticed due to absence of bleeding. • Safety tests are recommended in order to reduce complications. • Should unnoticed biloma happens, laparoscopic approach is safe and effective. |
| Databáze: | OpenAIRE |
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