복강경 담낭 절제술 중 발견된 자발적 부비장 파열

• Published in: Annals of surgical treatment and research Vol. 76; no. 5; pp. 326 - 328
• Main Authors: 이승은(Seung Eun Lee), 장진영(Jin-Young Jang), 황대욱(Dae Wook Hwang), 임창섭(Chang-sup Lim), 김선회(Sun-Whe Kim)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.05.2009
• Subjects: 일반외과학; 기복; Accessory spleen; 복강경 담낭 절제술; Laparoscopic cholecystectomy; Pneumoperitoneum; 부비장
• ISSN: 2288-6575; 2288-6796

Splenic rupture during laparoscopic cholecystectomy is a rare and unusual complication. We report a case of accessory splenic rupture that occurred during laparoscopic cholecystectomy. A 63-year-old male patient underwent laparoscopic cholecystectomy due to acute cholecystitis. After pneumoperitoneum was established, hemoperitoneum was detected. However, a bleeding focus was not found by laparoscopic whole abdominal exploration after laparoscopic cholecystectomy. Twenty-four hours later the patient became hypotensive and laparoscopic reexploration was performed. Hematoma and omental adhesion was detected around accessory spleen. Laparoscopic accessory splenectomy was performed. Distortion or stretching of perisplenic adhesion due to the induction of pneumoperitoneum possibly resulted in sudden splenic rupture and hemoperitoneum. Splenic rupture during laparoscopic cholecystectomy is a rare and unusual complication. We report a case of accessory splenic rupture that occurred during laparoscopic cholecystectomy. A 63-year-old male patient underwent laparoscopic cholecystectomy due to acute cholecystitis. After pneumoperitoneum was established, hemoperitoneum was detected. However, a bleeding focus was not found by laparoscopic whole abdominal exploration after laparoscopic cholecystectomy. Twenty-four hours later the patient became hypotensive and laparoscopic reexploration was performed. Hematoma and omental adhesion was detected around accessory spleen. Laparoscopic accessory splenectomy was performed. Distortion or stretching of perisplenic adhesion due to the induction of pneumoperitoneum possibly resulted in sudden splenic rupture and hemoperitoneum. KCI Citation Count: 0