Splenic lesion as a complication of laparoscopy. Case report

A case of splenic lesion is reported in a 48-year-old female patient who underwent an uneventful diagnostic laparoscopy. Symptoms suggesting massive intraabdominal bleeding occurred 5 hours later. Intraoperatively, a small posterior splenic lesion was found, which could be repaired using fibrin glue...

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Bibliographic Details
Published inZeitschrift für Gastroenterologie Vol. 30; no. 11; p. 795
Main Authors Mahlke, R, Bogusch, G, Lankisch, P G
Format Journal Article
LanguageEnglish
Published Germany 01.11.1992
Subjects
Emergencies
Female
Hemoperitoneum - etiology
Hemoperitoneum - surgery
Hemostasis, Surgical
Humans
Laparoscopes
Middle Aged
Spleen - injuries
Spleen - surgery
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Summary:A case of splenic lesion is reported in a 48-year-old female patient who underwent an uneventful diagnostic laparoscopy. Symptoms suggesting massive intraabdominal bleeding occurred 5 hours later. Intraoperatively, a small posterior splenic lesion was found, which could be repaired using fibrin glue. This protracted complication must have occurred while establishing the pneumoperitoneum; its cause is unclear, but distortion and stretching of small adhesions of the spleen with the abdominal wall may have played a role. Although rare, this complication should be considered when a patient deteriorates after an uneventful laparoscopy.
ISSN:0044-2771