Postischemic Compartment Syndrome Resulting from the Trocar-induced Iliac Artery Injury during Gynecological Laparoscopy

In: Journal of Medical Sciences · 2012 · vol. 32(4) , pp. 195–197 · doi:10.6136/jms.2012.32(4).195 · W1496124418
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AI-generated summary by claude@2026-06, 2026-06-11

This case report describes a young obese female who developed postischemic compartment syndrome after trocar-induced iliac artery injury during laparoscopic surgery for an ovarian teratoma.

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AI-generated deep summary by claude@2026-06, 2026-06-11 · read from full text

The paper reports a rare case of postischemic compartment syndrome caused by trocar-induced injury to the iliac artery during gynecological laparoscopy in an obese young woman with an ovarian teratoma. After the injury, the patient developed compartment syndrome despite emergent revascularization, and the authors emphasize that such life-threatening vascular complications may be misdiagnosed or mistreated. The main limitation is that the evidence is limited to a single case report, without broader population or systematic analysis. Relevance to endometriosis: it is a gynecological laparoscopy case involving vascular trocar injury and postoperative compartment syndrome, but it does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Injury of major retroperitoneal vascular structures is an infrequent complication of laparoscopy. One of the most severe complications that may occur during laparoscopic surgery is trocar and Veress needle injuries to the retroperitoneal vessels. A case of obese young female with ovarian teratoma, Rt suffered from postischemic compartment syndrome after laparoscopy though emergent revascularization was performed. Since this rare life-threatening conditions could easily be misdiagnosed and mistreated, early diagnosis and immediate treatment by vascular hemostasis and fasciotomy are essential to prevent this rare, serious, and potentially lethal complication.
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- 期刊 - OpenAccess Injury of major retroperitoneal vascular structures is an infrequent complication of laparoscopy. One of the most severe complications that may occur during laparoscopic surgery is trocar and Veress needle injuries to the retroperitoneal vessels. A case of obese young female with ovarian teratoma, Rt suffered from postischemic compartment syndrome after laparoscopy though emergent revascularization was performed. Since this rare life-threatening conditions could easily be misdiagnosed and mistreated, early diagnosis and immediate treatment by vascular hemostasis and fasciotomy are essential to prevent this rare, serious, and potentially lethal complication.

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