Utility of Dynamic CT in the Management of Laparoscopic Port-site Hematoma

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  • SHIMABUKURO Koji
    Dept. of Obstetrics and Gynecology, Tsuchiura Kyodo General Hospital
  • MANEYAMA Haruka
    Dept. of Obstetrics and Gynecology, Tsuchiura Kyodo General Hospital
  • ODAI Tamami
    Dept. of Obstetrics and Gynecology, Tsuchiura Kyodo General Hospital
  • YOSHIDA Takanori
    Dept. of Obstetrics and Gynecology, Tsuchiura Kyodo General Hospital
  • TSUKADA Takafumi
    Dept. of Obstetrics and Gynecology, Tsuchiura Kyodo General Hospital
  • KOURI Shiori
    Dept. of Obstetrics and Gynecology, Tsuchiura Kyodo General Hospital
  • NUSHI Yukiko
    Dept. of Obstetrics and Gynecology, Tsuchiura Kyodo General Hospital
  • NISHIDA Yasuko
    Dept. of Obstetrics and Gynecology, Tsuchiura Kyodo General Hospital
  • KITANO Rie
    Dept. of Obstetrics and Gynecology, Tsuchiura Kyodo General Hospital
  • ICHIKAWA Maiko
    Dept. of Obstetrics and Gynecology, Tsuchiura Kyodo General Hospital
  • ENDO Seiichi
    Dept. of Obstetrics and Gynecology, Tsuchiura Kyodo General Hospital
  • SAKAMOTO Masae
    Dept. of Obstetrics and Gynecology, Tsuchiura Kyodo General Hospital
  • NAKAMURA Reiko
    Dept. of Obstetrics and Gynecology, Tsuchiura Kyodo General Hospital

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Other Title
  • 腹腔鏡手術のポートサイト皮下血腫対応にdynamic CT が有用であった1 例
  • 症例報告 腹腔鏡手術のポートサイト皮下血腫対応にdynamic CTが有用であった1例
  • ショウレイ ホウコク フククウキョウ シュジュツ ノ ポートサイト ヒ カケッシュ タイオウ ニ dynamic CT ガ ユウヨウ デ アッタ 1レイ

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We report a case of subcutaneous port-site hematoma developed on day 6 after laparoscopic left-sided salpingooophorectomy. To start the procedure, three ports were placed in the umbilicus and in each lower quadrant using bladeless trocars. No bleeding was observed at the trocar sites after insertion or withdrawal. The patient was discharged on postoperative day (POD) 3, but returned to the emergency outpatient department with acute left lower abdominal pain on POD 6. Dynamic CT revealed a port-site hematoma with active bleeding from a subcutaneous artery. Hemostasis was achieved easily by opening the trocar wound. Dynamic CT was useful to locate the bleeding vessel and enabled use of a minimally invasive procedure to control bleeding.

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