Identifier to cite or link to this item: http://hdl.handle.net/20.500.13003/17311
Unnoticed biloma due to liver puncture after Veress needle insertion
WOS ID: 000366202100011
Scopus EID: 2-s2.0-84938847185
Embase PUI: L605540921
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Document typeresearch article
CitationSegura-Sampedro JJ, Canete-Gomez J, Reguera-Rosal J, Padillo-Ruiz FJ, Ramirez-Plaza CP. Unnoticed biloma due to liver puncture after Veress needle insertion. Ann Med Surg. 2015 Sep;4(3):238-9.
Laparoscopic surgery has become more widespread in the last years. Creating the pneumoperitoneum is the first surgical procedure but it is still responsible for many of the adverse events described in this field. Until now, liver puncture producing a delayed biloma has not been described. We present a case where a biloma was developed after liver puncture by the Veress needle, during a laparoscopic procedure, and detected on the 3rd day. It was detected by CT scan and treated by laparoscopy. Biloma due to Veress needle is a new entity in the context of adverse events related to Veress needle insertion, which needs a high suspicious index. We recommend to do Palmer's test and to check the insertion and to look for possible lesions below with the camera in order to minimize incidence of such injuries. Should this happen, laparoscopic or percutaneous drainage are both suitable alternatives to solve this complication.
This item appears in following Docusalut collectionsHospital Universitario Son Espases - HUSE > Comunicación científica
Instituto de Investigación Sanitaria Islas Baleares - IDISBA > Comunicación científica