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Mesenteric hematoma--meckel's diverticulum: a rare laparoscopic complication
Abstract:
As previously reported, most complications of laparoscopy occur during the induction of pneumoperitoneum. In addition to the known complications of emphysema, embolism, and pneumocolon, the insufflating needle may occasionally cause bleeding by entering inadvertently into a vessel which may in rare situations be a mesenteric artery. Luckily, this complication is rare enough not to necessitate typing, cross-matching, and preparation of blood for every laparoscopic procedure. Injury to the iliac mesentery, with mesenteric artery perforation and a resulting hematoma, occurred during laparoscopy for tubal sterilization. This report describes the operative finding of a Meckel's cord attaching the ileum to the umbilicus, leading to this unusual and serious complication necessitating an immediate laparotomy and ileal resection.
Insights
Laparoscopic surgery complications can arise during pneumoperitoneum induction. A rare case involved mesenteric artery perforation due to a Meckel
Area of Science:
- Minimally Invasive Surgery
- Surgical Complications
- Gastrointestinal Surgery
Background:
- Complications during laparoscopy often occur during pneumoperitoneum induction.
- Potential risks include emphysema, embolism, pneumocolon, and inadvertent vessel injury.
Observation:
- A case of mesenteric artery perforation and hematoma occurred during laparoscopy for tubal sterilization.
- The injury was linked to a Meckel's cord attaching the ileum to the umbilicus.
Findings:
- The insufflating needle inadvertently entered a mesenteric artery, causing significant bleeding.
- Anatomic anomaly (Meckel's cord) contributed to the unusual complication.
Implications:
- This rare event highlights the importance of awareness regarding potential vascular injuries during laparoscopy.
- Prompt diagnosis and surgical intervention (laparotomy, ileal resection) were necessary.
- Understanding patient anatomy is crucial for preventing severe laparoscopic complications.