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Hemoperitoneum following inguinal hernia repair: a case report
K E Buch1, M Reiner, C M Divino
1Department of Surgery, The Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1259, New York, NY 10029, USA.
Summary
A rare complication of hemoperitoneum can occur after open inguinal hernia repair due to injury to the artery of Sampson. This serious complication, though uncommon, highlights the importance of careful surgical technique during this routine procedure.
Area of Science:
- General Surgery
- Surgical Complications
- Vascular Anatomy
Background:
- Inguinal herniorrhaphy is a highly prevalent surgical procedure in the United States.
- The open approach for inguinal hernia repair is generally considered safe and ambulatory.
- Postoperative complications following this surgery are typically infrequent.
Observation:
- This report details a rare instance of hemoperitoneum, a serious complication.
- The complication was observed following an open inguinal hernia repair.
- The identified cause was an inadvertent injury to the artery of Sampson.
Findings:
- The artery of Sampson, a small vessel supplying the abdominal wall, can be injured during inguinal hernia repair.
- Injury to the artery of Sampson can lead to significant intra-abdominal bleeding (hemoperitoneum).
- This represents the first documented case of hemoperitoneum attributed to this specific vascular injury in the literature.
Implications:
- Highlights a previously unreported but serious complication of open inguinal hernia repair.
- Emphasizes the need for meticulous surgical technique and awareness of vascular anatomy, even in common procedures.
- May prompt further investigation into the incidence and prevention of artery of Sampson injury during herniorrhaphy.