2023 Volume 73 Issue 2 Pages 155-158
The patient was a man in his 60s with an unremarkable medical history. He underwent radical surgery via anterior approach (mesh plug technique) for the right inguinal hernia. Ten hours postoperatively, a dome-shaped subcutaneous hematoma that was approximately 10 cm in diameter was observed from the wound to the anterior surface of the right iliac crest. Contrast-enhanced computed tomography showed extravascular leakage of contrast medium under the skin ventral to the aponeurosis of external abdominal oblique muscle. An emergency hemostatic surgery was performed on the same day to stop the bleeding. The source of bleeding was found to be the superficial epigastric artery, and active bleeding was observed intraoperatively. The patient was discharged from the hospital on the sixth postoperative day. A case of active bleeding of the superficial epigastric artery after inguinal hernia surgery that required reoperation has not been reported so far. Here, we report this as a very rare case.
