2026-04-29T12:22:45Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/201352024-11-28T20:00:22Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967
Repisalud
author
Segura-Sampedro, Juan José
author
Canete-Gomez, Jesus
author
Reguera-Rosal, Julio
author
Javier Padillo-Ruiz, Francisco
author
Pablo Ramirez-Plaza, Cesar
2024-07-04T12:56:23Z
2024-07-04T12:56:23Z
2015-09
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
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.
eng
Laparoscopy
Pneumoperitoneum
Cholecystectomy
Peroperative complications
Cholecystectomy
Unnoticed biloma due to liver puncture after Veress needle insertion
research article