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Related Experiment Videos

Infected aortic pseudoaneurysm following laparoscopic cholecystectomy.

M M Levy1

  • 1Department of Vascular Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298, USA. mmlevy@hsc.vcu.edu

Annals of Vascular Surgery
|August 30, 2001
PubMed
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A rare aortic pseudoaneurysm complication occurred after laparoscopic cholecystectomy in a hemodialysis patient. Surgical repair resolved the infection and bacteremia, highlighting potential vascular risks of the procedure.

Area of Science:

  • Vascular Surgery
  • Gastrointestinal Surgery
  • Infectious Disease

Background:

  • Laparoscopic cholecystectomy is a common procedure for gallstones.
  • Vascular complications are rare but serious sequelae of laparoscopic surgery.
  • Hemodialysis patients may have increased risk factors for complications.

Observation:

  • A 38-year-old hemodialysis-dependent diabetic female presented with chronic back pain post-laparoscopic cholecystectomy.
  • Eight months later, she developed fevers and recurrent bacteremia with methicillin-resistant Staphylococcus aureus.
  • Imaging revealed a 7-cm aortic pseudoaneurysm originating from the abdominal aorta.

Findings:

  • The patient underwent resection of the infected aortic pseudoaneurysm and extraanatomic bypass.

Related Experiment Videos

  • Post-operatively, her bacteremia resolved, and she recovered.
  • This is the first reported case of an aortic pseudoaneurysm following laparoscopic cholecystectomy.

    • Implications:

    • Laparoscopic cholecystectomy, while generally safe, can rarely lead to significant vascular complications.
    • Aortic pseudoaneurysms are a potential, albeit infrequent, complication that requires prompt diagnosis and surgical intervention.
    • Awareness of these rare vascular risks is crucial for surgeons performing laparoscopic procedures, especially in high-risk patient populations.