Injury of abdominal aorta during laparoscopic orchiectomy in a pediatric patient

Abstract

Injury to major vessels during laparoscopic procedures is an emergency intervention situtaiton. Because it may results with death. During the laparoscopic (endoscopic) surgery of a 14-year-old boy child with the diagnosis of non-palpable testis, aortic injury occurred at the time of insertion of first trocar. Deteriorating of hemodynamic parameters perioperatively alarmed the surgical team and immediately open surgery was decided. Invasive monitoring and cathetherization of internal jugular vein were performed. Adequate blood and blood product replacement were performed. Bleeding focus at the abdominal aorta was repaired through median laparotomy. The patient remained stable during postoperative period and was discharged with full recovery. In laparoscopic surgical interventions, it should be remembered that laparoscopic experience of the anesthesia team and close monitoring of hemodynamic parameters perioperatively could ease early recognition of complications, thereby decreasing morbidity and mortality rates.