Utility of Dynamic CT in the Management of Laparoscopic Port-site Hematoma

VernacularTitle:腹腔鏡手術のポートサイト皮下血腫対応にdynamic CT が有用であった1 例
Author: Koji SHIMABUKURO ; Haruka MANEYAMA ; Tamami ODAI ; Takanori YOSHIDA ; Takafumi TSUKADA ; Shiori KOURI ; Yukiko NUSHI ; Yasuko NISHIDA ; Rie KITANO ; Maiko ICHIKAWA ; Seiichi ENDO ; Masae SAKAMOTO ; Reiko NAKAMURA
Publication Type:Journal Article
From:Journal of the Japanese Association of Rural Medicine 2017;65(5):1023-1026
CountryJapan
Language:Japanese
Abstract: 　　We report a case of subcutaneous port-site hematoma developed on day 6 after laparoscopic left-sided salpingooophorectomy. To start the procedure, three ports were placed in the umbilicus and in each lower quadrant using bladeless trocars. No bleeding was observed at the trocar sites after insertion or withdrawal. The patient was discharged on postoperative day (POD) 3, but returned to the emergency outpatient department with acute left lower abdominal pain on POD 6. Dynamic CT revealed a port-site hematoma with active bleeding from a subcutaneous artery. Hemostasis was achieved easily by opening the trocar wound. Dynamic CT was useful to locate the bleeding vessel and enabled use of a minimally invasive procedure to control bleeding.