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Table 2 Splenic rupture after laparoscopy

From: A case of splenic rupture: a rare event after laparoscopic cholecystectomy

Author Surgery (patient) Intraoperative Treatment Hypothesis
Prian DV, Am J Obstet Gynaecol, 1974 [4] Splenic rupture after pelvic laparoscopy Posterior subcapsularhaematoma Midline laparotomy with splenectomy Pneumoperitoneum stretched some adhesions between spleen, omentum and abdominal wall
Makanji HH, Br J Obstet Gynaecol, 1980 [5] Splenic rupture after pelvic laparoscopy Small posteriorspleniclesion Midline laparotomy with splenectomy Pneumoperitoneum stretched some adhesions between spleen, omentum and abdominal wall
Mahlke R, Z Gastroent 1992 [6] Splenic rupture 5 hours following uneventful diagnostic laparoscopy (female, 48 yrs) Small posteriorspleniclesion Midline laparotomy with fibrin glue reparation This complication must have occurred while establishing the pneumoperitoneum: stretching of small adhesions of the spleen with the abdominal wall may have played a role
Takeuchi K, J Reprod Med 2001 [7] Combination of laparoscopy and preoperative trauma to the left upper quadrant of the abdomen Sub-capsular hematoma Midline laparotomy with splenectomy Tearing away of delicate peritoneal reflections or small adhesions on the splenic capsule due to induction of pneumoperitoneum can result in sudden rupture and hemorrhage
Habib E, HPB (Oxford) 2004 [8] Splenic rupture 5 days after laparoscopy for duodenal perforation closed with two sutures reinforced with fibrin glue (male, 45 yrs) Posterior sub-capsular haematoma of the spleen at the site of the adhesion to the posterior peritoneum Midline laparotomy with splenectomy A posterior subcapsularhaematoma located at the site of the adhesion of the spleen to the posterior peritoneum had dissected the capsule over the dome of the spleen, and had ruptured into the peritoneum (sub capsular haematoma of the spleen that remained asymptomatic until its rupture)
Huchon C, J Min Inv Gyn 2008 [9] Splenic rupture 5 days after diagnostic laparoscopy (female, 52 yrs with history of abdominal surgery and with acute pelvic infection) Sub-capsular hematoma, resulting in a splenic rupture Midline laparotomy with splenectomy Probably caused by an overlooked puncture by the Veress needle or by tension on splenic adhesions during the adesiolysis