Abdominal wall hematoma as a complication of drainage after laparoscopic cholecystectomy: a case report

BackgroundAbdominal wall hematoma represents a potential postoperative complication that requires prompt identification and appropriate management. This case report retrospectively analyzes a patient who developed an abdominal wall hematoma associated with a drainage tube and puncture site following...

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Main Authors: Juntao Li, Zixiong Liu, Jia Li, Wei Cheng
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1468200/full
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author Juntao Li
Zixiong Liu
Jia Li
Wei Cheng
author_facet Juntao Li
Zixiong Liu
Jia Li
Wei Cheng
author_sort Juntao Li
collection DOAJ
description BackgroundAbdominal wall hematoma represents a potential postoperative complication that requires prompt identification and appropriate management. This case report retrospectively analyzes a patient who developed an abdominal wall hematoma associated with a drainage tube and puncture site following laparoscopic cholecystectomy at our hospital. The clinical characteristics, treatment modalities, and relevant literature are reviewed to highlight strategies for the prevention and management of postoperative hematomas, with the aim of providing valuable insights for clinical practice. We managed a patient who had undergone laparoscopic cholecystectomy for gallstones complicated by cholecystitis. On the first postoperative day, a hematoma developed at the site of the abdominal drainage tube insertion. Despite initial attempts at hemostasis through abdominal wall compression, these measures proved ineffective, necessitating the use of a urinary catheter balloon for effective compression hemostasis.Case presentationWe treated a patient who had undergone laparoscopic cholecystectomy for gallstones complicated by cholecystitis. On the first postoperative day, a hematoma developed at the site of the abdominal drainage tube insertion. Despite initial attempts at hemostasis using abdominal wall compression, these measures were ineffective, necessitating the use of a urinary catheter balloon for effective compression hemostasis.ConclusionThe urinary catheter balloon tamponade was effectively employed postoperatively to achieve hemostasis for the hematoma at the abdominal wall drainage site. It provides a viable alternative for early intervention in hematoma management.
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spelling doaj-art-0f1d045830fa4bb7976fba56c17a57402025-02-12T07:26:18ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-02-011210.3389/fmed.2025.14682001468200Abdominal wall hematoma as a complication of drainage after laparoscopic cholecystectomy: a case reportJuntao LiZixiong LiuJia LiWei ChengBackgroundAbdominal wall hematoma represents a potential postoperative complication that requires prompt identification and appropriate management. This case report retrospectively analyzes a patient who developed an abdominal wall hematoma associated with a drainage tube and puncture site following laparoscopic cholecystectomy at our hospital. The clinical characteristics, treatment modalities, and relevant literature are reviewed to highlight strategies for the prevention and management of postoperative hematomas, with the aim of providing valuable insights for clinical practice. We managed a patient who had undergone laparoscopic cholecystectomy for gallstones complicated by cholecystitis. On the first postoperative day, a hematoma developed at the site of the abdominal drainage tube insertion. Despite initial attempts at hemostasis through abdominal wall compression, these measures proved ineffective, necessitating the use of a urinary catheter balloon for effective compression hemostasis.Case presentationWe treated a patient who had undergone laparoscopic cholecystectomy for gallstones complicated by cholecystitis. On the first postoperative day, a hematoma developed at the site of the abdominal drainage tube insertion. Despite initial attempts at hemostasis using abdominal wall compression, these measures were ineffective, necessitating the use of a urinary catheter balloon for effective compression hemostasis.ConclusionThe urinary catheter balloon tamponade was effectively employed postoperatively to achieve hemostasis for the hematoma at the abdominal wall drainage site. It provides a viable alternative for early intervention in hematoma management.https://www.frontiersin.org/articles/10.3389/fmed.2025.1468200/fullabdominal wall hematomatreatmentlaparoscopic surgerycholecystectomycomplication
spellingShingle Juntao Li
Zixiong Liu
Jia Li
Wei Cheng
Abdominal wall hematoma as a complication of drainage after laparoscopic cholecystectomy: a case report
Frontiers in Medicine
abdominal wall hematoma
treatment
laparoscopic surgery
cholecystectomy
complication
title Abdominal wall hematoma as a complication of drainage after laparoscopic cholecystectomy: a case report
title_full Abdominal wall hematoma as a complication of drainage after laparoscopic cholecystectomy: a case report
title_fullStr Abdominal wall hematoma as a complication of drainage after laparoscopic cholecystectomy: a case report
title_full_unstemmed Abdominal wall hematoma as a complication of drainage after laparoscopic cholecystectomy: a case report
title_short Abdominal wall hematoma as a complication of drainage after laparoscopic cholecystectomy: a case report
title_sort abdominal wall hematoma as a complication of drainage after laparoscopic cholecystectomy a case report
topic abdominal wall hematoma
treatment
laparoscopic surgery
cholecystectomy
complication
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1468200/full
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AT zixiongliu abdominalwallhematomaasacomplicationofdrainageafterlaparoscopiccholecystectomyacasereport
AT jiali abdominalwallhematomaasacomplicationofdrainageafterlaparoscopiccholecystectomyacasereport
AT weicheng abdominalwallhematomaasacomplicationofdrainageafterlaparoscopiccholecystectomyacasereport