Cardiovascular collapse after laparoscopic liver biopsy

We describe a unique complication of laparoscopic liver biopsy. The increased intra-abdominal pressure associated with carbon dioxide pneumoperitoneum produced haemodynamic stability by tamponading a trochar-induced retroperitoneal haemorrhage. After deflation of the abdomen, release of the tamponad...

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Veröffentlicht in:	British journal of anaesthesia : BJA 1995-12, Vol.75 (6), p.782-784
Hauptverfasser:	Shaughnessy, T E, Raskin, D
Format:	Artikel
Sprache:	eng
Schlagworte:	Biological and medical sciences Biopsy - adverse effects Blood Loss, Surgical Fatal Outcome Female Humans Laparoscopy - adverse effects Liver - pathology Liver - surgery Liver, biliary tract, pancreas, portal circulation, spleen Medical sciences Middle Aged Pneumoperitoneum, Artificial Retroperitoneal Space Shock, Surgical - etiology Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system
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Beschreibung
Zusammenfassung:	We describe a unique complication of laparoscopic liver biopsy. The increased intra-abdominal pressure associated with carbon dioxide pneumoperitoneum produced haemodynamic stability by tamponading a trochar-induced retroperitoneal haemorrhage. After deflation of the abdomen, release of the tamponade resulted in acute cardiovascular collapse. Other complications associated with laparoscopic surgery are also discussed.
ISSN:	0007-0912 1471-6771
DOI:	10.1093/bja/75.6.782