OBJECTIVE: To describe an innovative approach of embolization of the inferior epigastric artery after vascular trauma due to lateral trocar insertion at operative laparoscopy. DESIGN: Case report. SETTING: Operating theater and interventional radiology suite of a university hospital. PATIENT(S): A 26-year-old woman with polycystic ovaries refractory to clomiphene citrate undergoing laparoscopic ovarian drilling. INTERVENTION(S): Percutaneous selective left external iliac and left inferior epigastric angiography followed by embolization with platinum microcoils and polyvinyl alcohol. MAIN OUTCOME MEASURE(S): Satisfactory hemostasis following traumatic injury to the inferior epigastric artery. RESULT(S): Hemostasis was achieved using a novel interventive radiologic approach of embolization of the inferior epigastric artery after conventional surgical techniques had failed. CONCLUSION(S): Arterial embolization is a novel additional measure in the armamentarium of the laparoscopic surgeon faced with intractable bleeding from the inferior epigastric vessels.
OBJECTIVE: To describe an innovative approach of embolization of the inferior epigastric artery after vascular trauma due to lateral trocar insertion at operative laparoscopy. DESIGN: Case report. SETTING: Operating theater and interventional radiology suite of a university hospital. PATIENT(S): A 26-year-old woman with polycystic ovaries refractory to clomiphene citrate undergoing laparoscopic ovarian drilling. INTERVENTION(S): Percutaneous selective left external iliac and left inferior epigastric angiography followed by embolization with platinum microcoils and polyvinyl alcohol. MAIN OUTCOME MEASURE(S): Satisfactory hemostasis following traumatic injury to the inferior epigastric artery. RESULT(S): Hemostasis was achieved using a novel interventive radiologic approach of embolization of the inferior epigastric artery after conventional surgical techniques had failed. CONCLUSION(S): Arterial embolization is a novel additional measure in the armamentarium of the laparoscopic surgeon faced with intractable bleeding from the inferior epigastric vessels.