Unnoticed biloma due to liver puncture after Veress needle insertion

Abstract 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. W...

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Bibliographic Details
Published inAnnals of medicine and surgery Vol. 4; no. 3; pp. 238 - 239
Main Authors Segura-Sampedro, Juan José, Cañete-Gómez, Jesús, Reguera-Rosal, Julio, Padillo-Ruiz, Francisco Javier, Ramírez-Plaza, César Pablo
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.09.2015
Elsevier
Subjects
Case Report
Cholecystectomy
Internal Medicine
Laparoscopy
Peroperative complications
Pneumoperitoneum
Surgery
Cholecystectomy
Laparoscopy
Peroperative complications
Pneumoperitoneum
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Summary:Abstract 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.
ISSN:2049-0801
2049-0801
DOI:10.1016/j.amsu.2015.07.016