1. Acute limb ischemia due to iliac thrombosis following laparoscopic surgery for hiatal hernia: Report from a medical malpractice litigation
- Author
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Maurizio Taurino, Ascanio Sirignano, Giuseppe Galiero, and Pasqualino Sirignano
- Subjects
Laparoscopic surgery ,medicine.medical_specialty ,Complications ,medicine.medical_treatment ,Case Report ,Hiatal hernia ,03 medical and health sciences ,complications ,iliac artery thrombosis ,laparoscopic surgery ,litigation ,malpractice ,vascular surgery ,0302 clinical medicine ,medicine.artery ,medicine ,Iliac artery thrombosis ,Elective surgery ,business.industry ,Malpractice ,External iliac artery ,Litigation ,General Medicine ,Vascular surgery ,medicine.disease ,Thrombosis ,Popliteal artery ,Surgery ,Laparoscopic hiatal hernia repair ,030220 oncology & carcinogenesis ,030211 gastroenterology & hepatology ,business - Abstract
Aim of this paper is to report an unusual case of iliac artery acute thrombosis following a laparoscopic elective surgery for hiatal hernia repair and observed during a medical malpractice litigation. A 69-year-old woman submitted to laparoscopic hiatal hernia repair developed a lower limb ischemia in 5th postoperative day due to common iliac and popliteal arteries acute occlusion. Patient was urgently treated with iliac embolectomy with Fogarty's catheter, and femoral endarterectomy, followed on 1st post-operative day by external iliac artery stenting and multiple attempts of popliteal artery recanalization. After 4 years of follow-up, despite symptoms at rest were disappeared, a severe (, Highlights • Although rare, retrospective studies and surveys report an incidence ranging from 0.04% to 0.5%, direct major vascular injuries are well-known potential complications of laparoscopic surgery. • In the great majority of cases, iliac lesion become clinically evident as haemorrhagic lesions. • This is the first case of acute limb ischemia due to laparoscopic surgery related iliac lesion evaluated during a medical malpractice litigation.
- Published
- 2021