A case of massive retroperitoneal hematoma secondary to hernia repair and review of the literature

Arlette Michelle DONGMO 1, 3, *, Faustin ATEMKENG TSATEDEM 1, Boris AMOUGOU 1, David Douglas BANGA NKOMO 1, Joseph FONDOP 1, Faustin Leroy GUIFO 2, Louis Joss BITANG A MAFOK 3, Alain MEFIRE CHICHOM 4 and Marcellin NGOWE NGOWE 5

1 Department of Surgery and Specialties -Faculty of Medicine and Pharmaceutical Sciences -University of Dschang Cameroon.
2 Department of Surgery and Specialties -Faculty of Medicine and Biomedical Sciences -University of Yaounde I, Cameroon.
3 Department of Surgery – Yaounde Emergency Center (CURY), Cameroon.
4 Department of Surgery and Obstetrics/Gynaecology – University of Buea, Cameroon.
5 Faculty of Medicine and Pharmaceutical Sciences -University of Douala, Cameroon.
 
Review
World Journal of Biology Pharmacy and Health Sciences, 2024, 17(02), 184–188.
Article DOI: 10.30574/wjbphs.2024.17.2.0063
Publication history: 
Received on 26 December 2023; revised on 05 February 2024; accepted on 08 February 2024
 
Abstract: 
Retroperitoneal hematomas are very rare and possibly fatal complications of hernia surgery. In this study, we report the case of a 24-year-old patient who developed a massive left preperitoneal and retroperitoneal hematoma following vessel injury during Shouldice hernia repair. Despite a packing during haemostasis surgery and being well resuscitated, the patient died in haemorrhagic shock. This case highlights the importance of early detection of signs of postoperative bleeding in the outcome of patients undergoing hernia repair.
 
Keywords: 
Indirect inguinal hernia; Shouldice technique; Postoperative complication; Retroperitoneal hematoma; Preperitoneal hematoma; Death
 
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Copyright information: 
Copyright © 2024 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0