Danger of Laparoscopic Umbilical Port in Portal Hypertensive Cirrhotic Patient: A Case Report

Abstract

Laparoscopic surgery has been proved to be safe and better option for Child-Pugh (CP) score class I and II cirrhotic patients. Various challenging laparoscopic surgeries have been applied to this group of patients. This case report was of an obese man, CP class I alcoholic cirrhotic patient with radiological evidence of portal hypertension, inflicted with cecal adenocarcinoma. Laparoscopic right hemicolectomy was planned. First camera port incision was made on infraumbilical position and injured to large paraumbilical collateral, which drained blood from the main portal vein. The patient was survived but suffered from postoperative ascites and postponing definite surgery. The preoperative computed tomography was reviewed and detailed of these collateral vessels. This report aims to raise awareness of this potential complication and reveal the imaging with discussion of avoiding options.