Catastrophic Sequalae Following Percutaneous Intervention in Case of Sigmoidectomy for Sigmoid Volvulus

Injury to the inferior epigastric artery is infrequent and iatrogenic in most cases, which can be fatal and life-threatening in some cases due to unnoticed excessive hemorrhage. We present a 23-year-old male who underwent sigmoidectomy, end-to-end colorectal anastomosis with covering loop ileostomy...

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Autores principales: Gaur, Naveen Kumar, Shaikh, Oseen, Chilaka, Suresh, Vijayakumar, Chellappa, Kumbhar, Uday
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8237764/
https://www.ncbi.nlm.nih.gov/pubmed/34221764
http://dx.doi.org/10.7759/cureus.15315
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author Gaur, Naveen Kumar
Shaikh, Oseen
Chilaka, Suresh
Vijayakumar, Chellappa
Kumbhar, Uday
author_facet Gaur, Naveen Kumar
Shaikh, Oseen
Chilaka, Suresh
Vijayakumar, Chellappa
Kumbhar, Uday
author_sort Gaur, Naveen Kumar
collection PubMed
description Injury to the inferior epigastric artery is infrequent and iatrogenic in most cases, which can be fatal and life-threatening in some cases due to unnoticed excessive hemorrhage. We present a 23-year-old male who underwent sigmoidectomy, end-to-end colorectal anastomosis with covering loop ileostomy for sigmoid volvulus. He developed intra-abdominal pus collection one week following surgery, for which ultrasound-guided aspiration was attempted. Post aspiration, the patient developed abdominal distension, pain with a significant drop in hemoglobin. Imaging showed active bleed from the branch of the inferior epigastric artery with massive intra-abdominal hematoma. The hematoma was evacuated, and the bleeding artery was identified and ligated. Postoperatively, there was no further drop in hemoglobin, and the patient was stable and hence discharged.
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spelling pubmed-82377642021-07-01 Catastrophic Sequalae Following Percutaneous Intervention in Case of Sigmoidectomy for Sigmoid Volvulus Gaur, Naveen Kumar Shaikh, Oseen Chilaka, Suresh Vijayakumar, Chellappa Kumbhar, Uday Cureus Emergency Medicine Injury to the inferior epigastric artery is infrequent and iatrogenic in most cases, which can be fatal and life-threatening in some cases due to unnoticed excessive hemorrhage. We present a 23-year-old male who underwent sigmoidectomy, end-to-end colorectal anastomosis with covering loop ileostomy for sigmoid volvulus. He developed intra-abdominal pus collection one week following surgery, for which ultrasound-guided aspiration was attempted. Post aspiration, the patient developed abdominal distension, pain with a significant drop in hemoglobin. Imaging showed active bleed from the branch of the inferior epigastric artery with massive intra-abdominal hematoma. The hematoma was evacuated, and the bleeding artery was identified and ligated. Postoperatively, there was no further drop in hemoglobin, and the patient was stable and hence discharged. Cureus 2021-05-29 /pmc/articles/PMC8237764/ /pubmed/34221764 http://dx.doi.org/10.7759/cureus.15315 Text en Copyright © 2021, Gaur et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Gaur, Naveen Kumar
Shaikh, Oseen
Chilaka, Suresh
Vijayakumar, Chellappa
Kumbhar, Uday
Catastrophic Sequalae Following Percutaneous Intervention in Case of Sigmoidectomy for Sigmoid Volvulus
title Catastrophic Sequalae Following Percutaneous Intervention in Case of Sigmoidectomy for Sigmoid Volvulus
title_full Catastrophic Sequalae Following Percutaneous Intervention in Case of Sigmoidectomy for Sigmoid Volvulus
title_fullStr Catastrophic Sequalae Following Percutaneous Intervention in Case of Sigmoidectomy for Sigmoid Volvulus
title_full_unstemmed Catastrophic Sequalae Following Percutaneous Intervention in Case of Sigmoidectomy for Sigmoid Volvulus
title_short Catastrophic Sequalae Following Percutaneous Intervention in Case of Sigmoidectomy for Sigmoid Volvulus
title_sort catastrophic sequalae following percutaneous intervention in case of sigmoidectomy for sigmoid volvulus
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8237764/
https://www.ncbi.nlm.nih.gov/pubmed/34221764
http://dx.doi.org/10.7759/cureus.15315
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