Inferior epigastric artery aneurysm: a rarest complication of laparoscopic cholecystectomy

Piyush Gupta; Mahinder Pal Kochar; Heera Ram; Brijesh Kumar Sharma; Dr Bharat Sharma; Javed Ali Khan; Somaram Choudhary

doi:10.18203/2349-2902.isj20251186

Authors

Piyush Gupta Department of General Surgery, Mahatma Gandhi University Medical Science and Technology, Jaipur, Rajasthan, India
Mahinder Pal Kochar Department of General Surgery, Mahatma Gandhi University Medical Science and Technology, Jaipur, Rajasthan, India
Heera Ram Department of Interventional Radiology, Mahatma Gandhi University Medical Science and Technology, Jaipur, Rajasthan, India
Brijesh Kumar Sharma Department of General Surgery, Mahatma Gandhi University Medical Science and Technology, Jaipur, Rajasthan, India
Dr Bharat Sharma
Javed Ali Khan Department of General Surgery, Mahatma Gandhi University Medical Science and Technology, Jaipur, Rajasthan, India
Somaram Choudhary Department of General Surgery, Mahatma Gandhi University Medical Science and Technology, Jaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2349-2902.isj20251186

Keywords:

Inferior epigastric artery, Laparoscopic, Cholecystectomy, Aneurysm, ITP, Doppler ultrasound

Abstract

Case is an uncommon rare incidental finding of an inferior epigastric artery aneurysm (IEAA) following a routine laparoscopic cholecystectomy performed for symptomatic gallstones. The vascular anomaly with idiopathic thrombocytopenic purpura (ITP) was identified postoperatively, underscoring the critical need for heightened vigilance during surgical procedures to prevent unintended vascular injuries. The case emphasizes the importance of meticulous surgical technique and the potential value of preoperative imaging in identifying such anomalies, particularly in patients considered high-risk.

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