ABSTRACT

Laparoscopic appendectomy has become of the surgical techniques with proven safety. It, however, has some advantages and disadvantages comparable to open appendectomy. Hemorrhagic complications may develop during the placement of veress or trochar and while accomplishing sharp dissection during the procedure. Major bleeding caused by abdominal wall vein damage related to trochar is very rare. Delayed diagnosis may increase morbidity and mortality. The patient, who had laparoscopic appendectomy diagnosed with acute appendicitis, developed abdominal wall hematoma that gave way to hypovolemia in the post-op period. The patient was followed-up with medical treatment. It should be kept in mind that there might be bleeding from the trochar site that would upset the patients’ clinical condition.