{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T01:00:56Z","timestamp":1784595656100,"version":"3.55.0"},"reference-count":10,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,1,7]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Acute iliac artery thrombosis is a rare complication of laparoscopic surgery that represents a significant risk to limb and life. This case describes an uncommon instance of acute-on-chronic external iliac artery thrombosis presenting immediately after laparoscopic gastrointestinal surgery. While rare, this presentation highlights an important perioperative complication in patients with underlying vascular disease.<\/jats:p>\n                  <jats:p>A man in his early 60s underwent elective laparoscopic ventral hernia repair. Postoperatively, he woke with severe left calf pain. Both lower limbs were pale, cool and pulseless. CT angiography revealed bilateral external iliac artery occlusion. This complication was successfully managed with open bilateral external iliac thrombectomy, angioplasty and stenting.<\/jats:p>\n                  <jats:p>While venous thromboembolism, acute compartment syndrome and iatrogenic vessel injury are well-recognised vascular complications of laparoscopic surgery, there is limited literature describing arterial thrombosis. As acute limb ischaemia becomes an increasingly recognised complication of laparoscopic gastrointestinal surgery, surgeons should consider implementing preoperative and postoperative screening to minimise the risk of serious adverse outcomes.<\/jats:p>","DOI":"10.1136\/bcr-2025-269992","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T14:40:32Z","timestamp":1769697632000},"page":"e269992","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Acute bilateral external iliac artery occlusion following a laparoscopic incisional hernia repair"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8263-9286","authenticated-orcid":false,"given":"Joseph","family":"Kilby","sequence":"first","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, University Hospital Geelong, Geelong, Victoria, Australia"},{"name":"Barwon Health, Geelong, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayur","family":"Krishnaswamy","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, University Hospital Geelong, Geelong, Victoria, Australia"},{"name":"Barwon Health, Geelong, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"George","sequence":"additional","affiliation":[{"name":"Department of General Surgery, South West Healthcare, Warrnambool, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,1,29]]},"reference":[{"key":"2026012906401939000_19.1.e269992.1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31815792d8"},{"key":"2026012906401939000_19.1.e269992.2","doi-asserted-by":"crossref","DOI":"10.1093\/jscr\/rjz020","article-title":"Acute iliac arterial thrombosis during laparoscopic abdominoperineal resection","volume":"2019","author":"Sahara","year":"2019","journal-title":"J Surg Case Rep"},{"key":"2026012906401939000_19.1.e269992.3","article-title":"Acute limb ischemia due to iliac thrombosis following laparoscopic surgery for hiatal hernia: Report from a medical malpractice litigation","volume":"67","author":"Sirignano","year":"2021","journal-title":"Ann Med Surg (Lond)"},{"key":"2026012906401939000_19.1.e269992.4","doi-asserted-by":"crossref","first-page":"1090","DOI":"10.1007\/s00464-003-8819-0","article-title":"Changes in the blood coagulation, fibrinolysis, and cytokine profile during laparoscopic and open cholecystectomy","volume":"18","author":"Schietroma","year":"2004","journal-title":"Surg Endosc"},{"key":"2026012906401939000_19.1.e269992.5","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1007\/s00464-005-0305-4","article-title":"Coagulation, inflammatory, and stress responses in a randomized comparison of open and laparoscopic repair of recurrent inguinal hernia","volume":"20","author":"Rahr","year":"2006","journal-title":"Surg Endosc"},{"key":"2026012906401939000_19.1.e269992.6","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31817e0fcd"},{"key":"2026012906401939000_19.1.e269992.7","doi-asserted-by":"crossref","first-page":"223","DOI":"10.5468\/ogs.2017.60.2.223","article-title":"Lower limb compartment syndrome by reperfusion injury after treatment of arterial thrombosis post-laparoscopic radical hysterectomy and pelvic lymph node dissection for cervical cancer","volume":"60","author":"Yeon","year":"2017","journal-title":"Obstet Gynecol Sci"},{"key":"2026012906401939000_19.1.e269992.8","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.46.0371"},{"key":"2026012906401939000_19.1.e269992.9","doi-asserted-by":"publisher","DOI":"10.1177\/000331970605700215"},{"key":"2026012906401939000_19.1.e269992.10","doi-asserted-by":"publisher","DOI":"10.1016\/j.iac.2007.07.001"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-269992","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T14:40:34Z","timestamp":1769697634000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-269992"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,29]]},"published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1136\/bcr-2025-269992"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-269992","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}