Life-threatening rupture of an external iliac artery pseudoaneurysm caused by necrotizing fasciitis following laparoscopic radical cystectomy: a case report

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• 作者：Shinro Hata (1)
  Ryuta Satoh (1)
  Toshitaka Shin (1)
  Kenichi Mori (1)
  Yasuhiro Sumino (1)
  Fuminori Satoh (1)
  Hiromitsu Mimata (1)
  
  1. Department of Urology ; Faculty of medicine ; Oita University ; Idaigaoka 1-1 ; Hasama-cho ; Yufu ; Oita Prefecture ; 879-5593 ; Japan
  
• 关键词：Bladder cancer ; Pseudoaneurysm ; Laparoscopic ; Pelvic lymphadenectomy
• 刊名：BMC Research Notes
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：7
• 期：1
• 全文大小：540 KB
• 参考文献：1. Sueyoshi, E, Sakamoto, I, Nakashima, K, Minami, K, Hayashi, K (2005) Visceral and peripheral arterial pseudoaneurysms. AJR Am J Roentgenol 185: pp. 741-749 CrossRef
  2. Enzo, R, Giampaolo Di, M, Paolo, M, Mauro, S, Antonio, F, Marina, J, Borut, K, Massimo, M (2012) Life-threatening bleeding after pelvic lymphadenectomy for cervical cancer: endovascular management of ruptured false aneurysm of the external iliac artery. World J Surg Oncol 10: pp. 149 CrossRef
  3. Huang, W-Y, Huang, C-Y, Chen, C-A, Hsieh, C-Y, Cheng, W-F (2008) Ruptured pseudoaneurysm of the external iliac artery in an advanced cervical cancer patient treated by endovascular covered stent placement. J Formos Med Assoc 107: pp. 348-351 CrossRef
  4. Hampson, SJ, Buckenham, T, Patel, A, Woodhouse, CR (1996) False aneurysm of the common iliac artery after pelvic lymphadenectomy: management of an unusual complication. J Urol 154: pp. 201-202 CrossRef
  5. Huang, J, Lin, T, Liu, H, Kewei, X, Zhang, C, Jiang, C, Huang, H, Yao, Y, Guo, Z, Xie, W (2010) Laparoscopic radical cystectomy with orthotopic ileal neobladder for bladder cancer: oncologic results of 171 cases with a median 3-year follow-up. Eur Urol 58: pp. 442-449 CrossRef
  6. Desai, MM, Berger, AK, Brandina, RR, Zehnder, P, Simmons, M, Aron, M, Skinner, EC, Gill, IS (2012) Robotic and laparoscopic high extended pelvic lymph node dissection during radical cystectomy: technique and outcomes. Eur Urol 61: pp. 350-355 CrossRef
  7. Christopher, S, Nasreldin, M, Stefano, A, Gerit, T, Vincenzo Maria, A, Paolo, F, Francesco, G (2014) Laparoscopic radical cystectomy with extracorporeal ileal neobladder for muscle-invasive urothelial carcinoma of the bladder: technique and short-term outcomes. World J Urol 32: pp. 407-412 CrossRef
  
• 刊物主题：Biomedicine general; Medicine/Public Health, general; Life Sciences, general;
• 出版者：BioMed Central
• ISSN：1756-0500

文摘

Background Pseudoaneurysms are caused by trauma, tumors, infections, vasculitis, atherosclerosis and iatrogenic complications. In this paper, we report about a patient with rupture of an external iliac artery pseudoaneurysm, which lead to hemorrhagic shock, after undergoing laparoscopic radical cystectomy and extended pelvic lymphadenectomy. Case presentation The patient was a 68-year-old Japanese male diagnosed with invasive bladder cancer. Laparoscopic radical cystectomy and extended pelvic lymphadenectomy were performed. On postoperative day 12, he developed a high fever and an acute inflammatory response with redness and swelling in the right inguinal region. He was diagnosed with necrotizing fasciitis and underwent debridement. On postoperative day 42, a sudden hemorrhage developed from the open wound in the right inguinal region. He was diagnosed with external iliac artery pseudoaneurysm rupture by computed tomography. Conclusion These complications occur extremely rarely after cystectomy with pelvic lymphadenectomy. There are no reports to date on these complications following laparoscopic cystectomy with pelvic lymphadenectomy.