Takeuchi K, Yamada T, Sato A, Nakago S, Maruo T
Department of Obstetrics and Gynecology, Kobe University School of Medicine, 7-5-1 Kusunokicho Chuoku, Kobe 650-0017, Japan.
J Reprod Med. 2001 Aug;46(8):779-80.
Laparoscopic surgery has many advantages but is not without complications, such as viscus perforation and intraabdominal hemorrhage.
A rare and severe complication, massive abdominal bleeding due to splenic rupture, became symptomatic after an uneventful laparoscopy. 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.
This possibility should be remembered when laparoscopy is necessary in patients with a history of blunt abdominal trauma.
腹腔镜手术有诸多优点，但并非没有并发症，如脏器穿孔和腹腔内出血。
一例罕见且严重的并发症，即脾破裂导致的大量腹腔出血，在一次顺利的腹腔镜检查后出现症状。气腹诱导导致脾包膜上精细的腹膜反折或小粘连撕裂，可引发突然破裂和出血。
对于有腹部钝性创伤史的患者，在有必要进行腹腔镜检查时应牢记这种可能性。
