A laparoscopic approach was used to evaluate and manage hemoperitoneum that occurred in a 50 year-old woman who had undergone recent sleeve gastrectomy complicated by pulmonary embolism and hemoperitoneum. This case illustrates an important complication of laparoscopic sleeve gastrectomy, the usefulness of laparoscopy for managing complications of bariatric surgery, and the challenge of laparoscopy in an peritoneum filled with a significant quantity of blood.
Authors: Donald Q Brubaker, BA – West Virginia University. Nova Szoka, MD – West Virginia University.
Laparoscopic visualization and evacuation of hemoperitoneum
sleeve gastrectomy staple line
Advantages: improved operative time compared to laparotomy
Disadvantages: reduced visualization of peritoneal cavity compared to laparotomy
Hemorrhage, Infection, Thromboembolism
No conflicts to report for either author.
Salim Abunnaja, MD. Lawrence Tabone, MD. Alison Wilson, MD.
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