Femoral arterden kan örneði alýnmasý sonrasý ince baðýrsak perforasyonu: Olgu sunumu

Femoral herni olgularýnda, femoral artere uygulanan invaziv giriþimler sonucu ince baðýrsak perforasyonu nadir görülen bir komplikasyondur. Pulmoner yetersizlik nedeniyle yogun bakýmda takip edilen 48 yaþýnda kadýn hastada, kan gazý incelenmesi amacýyla femoral artere uygulanan giriþimden sonra þiddetli kusma ve karýn aðrýsý oldu. Hasta akut karýn olarak deðerlendirilerek ameliyata alýndý. Laparotomide ince baðýrsak perforasyonu saptanmasý üzerine segmenter ince baðýrsak rezeksiyonu, uç-uca anastomoz yapýldý. Femoral kanal plak meþ ile kapatýldý. Femoral arter giriþimleri esnasýnda iyatrojenik ince baðýrsak perforasyonunu önlemek için femoral herni olasýlýðý gözönüne alýnarak dikkatli fiziksel inceleme yapýlmalýdýr.

Small bowel perforation after drawing a blood sample in the femoral artery: a case report

Small bowel perforation is a rare complication of femoral artery access in cases of femoral hernia. A 48-year-old woman was admitted to the intensive care unit due to pulmonary insufficiency. After a routine femoral arterial blood gas analysis, severe abdominal pain and nausea began. She underwent emergency laparotomy due to acute abdomen. Laparotomy revealed small bowel perforation. Segmental resection and end-to-end anastomosis were performed. The femoral canal was closed using plaque mesh. Special attention is needed during femoral artery access to avoid accidental small bowel perforation. As seen in this case, a careful examination should be done in cases of femoral hernia.