Ulus Travma Acil Cerrahi Derg. 2010; 16(3): 275-276

Small bowel perforation after drawing a blood sample in the femoral artery: a case report

Cengiz Ara¹, Sacid Coban¹, Burak Isik¹, Canan Ceran Ozcan², Sezai Yilmaz^1
1Inonu University School Of Medicine, Department Of General Surgery
²Inonu University School Of Medicine Department Of Pediatric Surgery, Malatya

Small bowel perforation is a rare complication of femoral artery access in cases of femoral hernia. A 48-year-old woman was admitted to the intensive care unit due to pulmonary insufficiency. After a routine femoral arterial blood gas analysis, severe abdominal pain and nausea began. She underwent emergency laparotomy due to acute abdomen. Laparotomy revealed small bowel perforation. Segmental resection and end-to-end anastomosis were performed. The femoral canal was closed using plaque mesh. Special attention is needed during femoral artery access to avoid accidental small bowel perforation. As seen in this case, a careful examination should be done in cases of femoral hernia.

Keywords: Femoral artery, femoral hernia; small bowel perforation.

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Femoral arterden kan örneði alýnmasý sonrasý ince baðýrsak perforasyonu: Olgu sunumu

Cengiz Ara¹, Sacid Coban¹, Burak Isik¹, Canan Ceran Ozcan², Sezai Yilmaz^1
1Ýnönü Üniversitesi Týp Fakültesi, Genel Cerrahi Abd, Malatya
²Ýnönü Üniversitesi Týp Fakültesi, Çocuk Cerrahisi Abd, Malatya

Femoral herni olgularýnda, femoral artere uygulanan invaziv giriþimler sonucu ince baðýrsak perforasyonu nadir görülen bir komplikasyondur. Pulmoner yetersizlik nedeniyle yogun bakýmda takip edilen 48 yaþýnda kadýn hastada, kan gazý incelenmesi amacýyla femoral artere uygulanan giriþimden sonra þiddetli kusma ve karýn aðrýsý oldu. Hasta akut karýn olarak deðerlendirilerek ameliyata alýndý. Laparotomide ince baðýrsak perforasyonu saptanmasý üzerine segmenter ince baðýrsak rezeksiyonu, uç-uca anastomoz yapýldý. Femoral kanal plak meþ ile kapatýldý. Femoral arter giriþimleri esnasýnda iyatrojenik ince baðýrsak perforasyonunu önlemek için femoral herni olasýlýðý gözönüne alýnarak dikkatli fiziksel inceleme yapýlmalýdýr.

Anahtar Kelimeler: Femoral arter, femoral herni; ince baðýrsak perforasyonu.

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