論文種別	症例報告
言語種別	英語
査読の有無	その他(不明)
表題	Management of retrohepatic inferior vena cava injury during hepatectomy and an intravascular foreign body caused by surgical gauze migration: a case report.
掲載誌名	正式名：Journal of surgical case reports 略　 称：J Surg Case Rep ISSNコード：20428812/20428812
掲載区分	国外
巻・号・頁	2025(9),pp.rjaf755
著者・共著者	Thanh Tung Lai, Hideyuki Matsushima, Hisashi Kosaka, Kosuke Matsui, Gozo Kiguchi, Hidekazu Yamamoto, Takuya Ohigashi, Hoang Hai Duong, Van Khanh Nguyen, Shuji Kariya, Masaki Kaibori
発行年月	2025/09
概要	We report a case involving a hepatocellular carcinoma with massive bleeding from a large (retrohepatic inferior vena cava) RHIVC laceration during laparoscopic posterior sectionectomy, complicated by the exceedingly rare migration of surgical gauze into the left pulmonary artery (LPA). Hemostasis was achieved by manual compression and two anchoring Prolene sutures at both ends of the laceration, allowing effective RHIVC wall approximation. Given the low central venous pressure during hepatectomy, edge approximation significantly reduced bleeding and improved repair visibility. Postoperative imaging showed the gauze was lodged in the LPA, constituting an intravascular foreign body (IFB). The gauze was successfully retrieved via endovascular intervention without additional complications. Anchoring sutures with manual compression may be a helpful technique for managing a large RHIVC injury, and endovascular retrieval may provide a safe alternative to reoperation for a large IFB.
DOI	10.1093/jscr/rjaf755
PMID	40979416