2026-04-29T12:23:06Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/201352024-11-28T20:00:22Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967

00925njm 22002777a 4500 dc Segura-Sampedro, Juan José author Canete-Gomez, Jesus author Reguera-Rosal, Julio author Javier Padillo-Ruiz, Francisco author Pablo Ramirez-Plaza, Cesar author 2015-09 Laparoscopic surgery has become more widespread in the last years. Creating the pneumoperitoneum is the first surgical procedure but it is still responsible for many of the adverse events described in this field. Until now, liver puncture producing a delayed biloma has not been described. We present a case where a biloma was developed after liver puncture by the Veress needle, during a laparoscopic procedure, and detected on the 3rd day. It was detected by CT scan and treated by laparoscopy. Biloma due to Veress needle is a new entity in the context of adverse events related to Veress needle insertion, which needs a high suspicious index. We recommend to do Palmer's test and to check the insertion and to look for possible lesions below with the camera in order to minimize incidence of such injuries. Should this happen, laparoscopic or percutaneous drainage are both suitable alternatives to solve this complication. Segura-Sampedro JJ, Canete-Gomez J, Reguera-Rosal J, Padillo-Ruiz FJ, Ramirez-Plaza CP. Unnoticed biloma due to liver puncture after Veress needle insertion. Ann Med Surg. 2015 Sep;4(3):238-9. 10.1016/j.amsu.2015.07.016 2049-0801 Annals of Medicine and Surgery http://hdl.handle.net/20.500.13003/17311 26587233 L605540921 2-s2.0-84938847185 http://hdl.handle.net/20.500.12105/20135 366202100011 Laparoscopy Pneumoperitoneum Cholecystectomy Peroperative complications Cholecystectomy Unnoticed biloma due to liver puncture after Veress needle insertion