Anesth Pain Med.
2010 Apr;5(2):159-161.
Aortic injury associated with trocar insertion during laparoscopic-assisted vaginal hysterectomy: A case report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, Hanyang University College of Medicine, Seoul, Korea. kimks@hanyang.ac.kr
Abstract
- Aortic injury during laparoscopic procedures is a rare but life-threatening complication if not recognized and swiftly treated. We report our experience with a 47-year-old woman presenting with an aortic puncture of the anterior wall from a trocar insertion during a laparoscopic-assisted vaginal hysterectomy (laparoscopic hysterectomy). Diagnosis was delayed because of the limited vision of the laparoscope and the tamponade effect produced by the pneumoperitoneum. Anesthesiologists should be aware of the risk of iatrogenic major vessel injury during trocar insertion.
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