Life-threatening rupture of an external iliac artery pseudoaneurysm caused by necrotizing fasciitis following laparoscopic radical cystectomy: a case report

BMC Research Notes

Hiromitsu Mimata¹  Fuminori Satoh¹  Yasuhiro Sumino¹  Kenichi Mori¹  Toshitaka Shin¹  Ryuta Satoh¹  Shinro Hata¹ 

[1] Department of Urology, Faculty of medicine, Oita University, Idaigaoka 1-1, Hasama-cho, Yufu, Oita Prefecture 879-5593, Japan

关键词: Pelvic lymphadenectomy;    Laparoscopic;    Pseudoaneurysm;    Bladder cancer;   

Others  :  1132805
DOI  :  10.1186/1756-0500-7-290

 received in 2013-12-18, accepted in 2014-05-07,  发布年份 2014

【 摘 要 】

Background

Pseudoaneurysms are caused by trauma, tumors, infections, vasculitis, atherosclerosis and iatrogenic complications. In this paper, we report about a patient with rupture of an external iliac artery pseudoaneurysm, which lead to hemorrhagic shock, after undergoing laparoscopic radical cystectomy and extended pelvic lymphadenectomy.

Case presentation

The patient was a 68-year-old Japanese male diagnosed with invasive bladder cancer. Laparoscopic radical cystectomy and extended pelvic lymphadenectomy were performed. On postoperative day 12, he developed a high fever and an acute inflammatory response with redness and swelling in the right inguinal region. He was diagnosed with necrotizing fasciitis and underwent debridement. On postoperative day 42, a sudden hemorrhage developed from the open wound in the right inguinal region. He was diagnosed with external iliac artery pseudoaneurysm rupture by computed tomography.

Conclusion

These complications occur extremely rarely after cystectomy with pelvic lymphadenectomy. There are no reports to date on these complications following laparoscopic cystectomy with pelvic lymphadenectomy.

【 授权许可】

   
2014 Hata et al.; licensee BioMed Central Ltd.

【 图 表 】

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