Balachandran Premkumar, Pandian Senguttuvan, V C Swathika, T S Subbiah, Chordia Dakshay A
General Surgery, Apollo Hospitals, Chennai, IND.
Interventional Radiology, Apollo Hospitals, Chennai, IND.
Cureus. 2022 Mar 21;14(3):e23377. doi: 10.7759/cureus.23377. eCollection 2022 Mar.
We hereby report a rare case of pseudoaneurysm of the left Inferior epigastric artery following extended totally extraperitoneal (e-TEP) repair for bilateral inguinal hernia. The patient developed swelling and pain in the lower abdomen one month following surgery. He was diagnosed to have a pseudoaneurysm of the left inferior epigastric artery with significant collection in the retro rectus plane. The pseudoaneurysm was thrombosed using Thrombin injection under ultrasound guidance. He was subsequently taken up for laparoscopic pseudo aneurysm excision with hematoma evacuation and ultrasound-guided transfascial ligation of the inferior epigastric artery with mesh explantation. The pseudoaneurysm was successfully treated and at follow-up, the patient's symptoms were resolved.
我们在此报告一例罕见的双侧腹股沟疝经腹膜外完全修补术（e-TEP）后左下腹壁下动脉假性动脉瘤的病例。患者术后1个月出现下腹部肿胀和疼痛。经诊断，其左下腹壁下动脉假性动脉瘤伴腹直肌后平面大量积液。在超声引导下，通过注射凝血酶使假性动脉瘤形成血栓。随后，患者接受了腹腔镜下假性动脉瘤切除术、血肿清除术以及超声引导下经筋膜结扎腹壁下动脉并取出补片。假性动脉瘤得到成功治疗，随访时患者症状消失。
