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Acute splenic rupture following laparoscopic pneumoperitoneum: A case report
Jean-Luc Delafontaine1, Rebecca Moreci2, Navdeep S Samra3
1Department of Surgery, Louisiana State University Health Sciences Center Shreveport, Shreveport, LA, USA.
Trauma Case Reports
|July 25, 2019
Summary
Splenic rupture is a rare complication following laparoscopic surgery. This case highlights acute disruption of a splenic hematoma during gastrostomy tube placement as a potential cause.
Area of Science:
- Surgical Complications
- Gastrointestinal Surgery
- Trauma Surgery
Background:
- Laparoscopic procedures are common, but rare complications like splenic rupture can occur.
- This study focuses on a specific instance of splenic laceration during laparoscopic gastrostomy tube placement.
- Understanding rare complications is crucial for surgical safety.
Observation:
- A 64-year-old male developed splenic rupture post-laparoscopic gastrostomy tube placement.
- Hypotension and hemoperitoneum were noted intraoperatively, requiring an emergent splenectomy.
- The patient had a history of multiple injuries following a motor vehicle accident.
Findings:
- The splenic rupture was theorized to result from the acute disruption of a pre-existing peri-splenic hematoma.
- Capnoperitoneum creation during laparoscopy may have exacerbated the hematoma.
- This event underscores the importance of careful surgical technique.
Implications:
- This case emphasizes the need for vigilance regarding rare splenic injuries during laparoscopic surgery.
- Further research into the mechanisms of splenic injury in minimally invasive procedures is warranted.
- Improved awareness can aid in preventing and managing such rare but serious complications.
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