PT  - JOURNAL ARTICLE
AU  - Kenrick Kai Chi Chan
AU  - Shahab Khan
AU  - Christopher Lewis
TI  - Unusual presentation of a life-threatening intraperitoneal haemorrhage after elective inguinal hernia repair
AID  - 10.1136/bcr-2018-226676
DP  - 2018 Nov 01
TA  - BMJ Case Reports
PG  - bcr-2018-226676
VI  - 11
IP  - 1
4099  - http://casereports.bmj.com/content/11/1/bcr-2018-226676.short
4100  - http://casereports.bmj.com/content/11/1/bcr-2018-226676.full
SO  - BMJ Case Reports2018 Nov 01; 11
AB  - A 57-year-old man who was hypotensive at induction of anaesthesia was having intermittent episodes of hypotension after an uncomplicated and relatively bloodless open inguinal hernia repair of a large left-sided hernia . His hypotension was responsive to small fluid boluses. He did not show any tachycardia, had no abdominal pain, no signs of bruising or bleeding in his abdomen, flanks, or scrotum. Remained clinically well and alert throughout until being transferred to a tertiary centre. Eventually became haemodynamically unstable approximately 6 hours postoperatively. CT angiogram showed a large haemoperitoneum with active bleeding. Diagnostic laparoscopy revealed an actively bleeding inferior epigastric artery which was stopped. The patient received 2 units of red blood cells and made a full recovery.