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Unexpected hemorrhage of a rare vessel, a pubic branch of the external iliac artery, after laparoscopic radical prostatectomy: Case report.

Abstract Postoperative hemorrhage is a rare complication after laparoscopic radical prostatectomy (LRP), with no case reports of bleeding from the external iliac artery in the literature.
PMID
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Authors

Mayor MeshTerms

Iliac Artery

Laparoscopy

Prostatectomy

Keywords
Journal Title medicine
Publication Year Start




PMID- 29390411
OWN - NLM
STAT- MEDLINE
DCOM- 20180212
LR  - 20180212
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 50
DP  - 2017 Dec
TI  - Unexpected hemorrhage of a rare vessel, a pubic branch of the external iliac
      artery, after laparoscopic radical prostatectomy: Case report.
PG  - e9357
LID - 10.1097/MD.0000000000009357 [doi]
AB  - RATIONALE: Postoperative hemorrhage is a rare complication after laparoscopic
      radical prostatectomy (LRP), with no case reports of bleeding from the external
      iliac artery in the literature. PATIENT CONCERNS: A 73-year-old man diagnosed
      with clinical stage 2c prostate cancer underwent LRP successfully with only
      approximately 200 mL of intraoperative blood loss. However, his blood pressure
      dropped from 135/74 to 80/49 mm Hg and his hemoglobin decreased by 66 g/L
      compared with the preoperative level within 5 hours. DIAGNOSES: Active hemorrhage
      from a pubic branch of the external iliac artery was found by digital subtraction
      angiography (DSA). INTERVENTIONS: The patient was treated with superselective
      intraarterial embolization. OUTCOMES: The bleeding stopped and the patient
      recovered uneventfully with no further hemorrhage or other complications.
      LESSONS: Although postoperative hemorrhage after LRP is exceptionally rare, it
      can occur not only in the internal iliac artery but also in the external iliac
      artery. In addition, contracted pelvis cases should be addressed with more
      caution by the laparoscope holder in case external iliac artery is injured.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Jiang, Wei-Xing
AU  - Jiang WX
AD  - Department of Urology.
FAU - Zhou, Zhi-En
AU  - Zhou ZE
AD  - Department of Urology.
FAU - Yan, Wei-Gang
AU  - Yan WG
AD  - Department of Urology.
FAU - Pan, Jie
AU  - Pan J
AD  - Department of Radiology, Peking Union Medical College Hospital, Chinese Academy
      of Medical Sciences, Beijing, P.R. China.
FAU - Ji, Zhi-Gang
AU  - Ji ZG
AD  - Department of Urology.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Angiography, Digital Subtraction
MH  - Embolization, Therapeutic/*methods
MH  - Humans
MH  - *Iliac Artery
MH  - *Laparoscopy
MH  - Male
MH  - Neoplasm Staging
MH  - Postoperative Hemorrhage/*diagnostic imaging/*therapy
MH  - *Prostatectomy
MH  - Prostatic Neoplasms/pathology/*surgery
EDAT- 2018/02/03 06:00
MHDA- 2018/02/13 06:00
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/13 06:00 [medline]
AID - 10.1097/MD.0000000000009357 [doi]
AID - 00005792-201712150-00161 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(50):e9357. doi: 10.1097/MD.0000000000009357.