Delayed Haemorrhage Following Radical Gastrectomy: A Case Report

Abstract

A 53-year-old man, who underwent total gastrectomy and esophagojejunostomy due to gastric cancer, came back to the emergency ward with delayed intra-abdominal haemorrhage. The patient was suffering from a distended, painful abdomenn. The patient was hypotensive, tachycardic, and oliguric. Laboratory analysis detected severe reduced haemoglobin concentration and coagulopathy. After resuscitation and correction of coagulopathy, the patient was transferred to the operating room. At the emergency operation we found that intra-abdominal haemorrhage was from the transverse mesocolon and site of celiac lymph node dissection. Haemostasis was done by suturing, cauterization, and patches with Surgicel.