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Case Reports in Surgery
Volume 2017, Article ID 1487526, 3 pages
Case Report

Exploring a Third Confirmed Case of Hemoperitoneum following Open Inguinal Hernia Repair Caused by Sampson Artery Hemorrhage

1Hackensack University Medical Center, Hackensack, NJ 07601, USA
2Department of Surgery, Englewood Hospital, Englewood, NJ 07631, USA
3Touro College of Osteopathic Medicine, New York, NY 10027, USA

Correspondence should be addressed to Alexander Hsu; moc.liamg@1123ushxela

Received 19 January 2017; Accepted 22 March 2017; Published 10 April 2017

Academic Editor: Robert Stein

Copyright © 2017 Jordan Hebert et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Hemoperitoneum is a rare complication of open inguinal hernia repair. This is the third reported case of this complication attributed to the same bleeding source: Sampson’s artery. Sampson’s artery courses along the round ligament of the uterus in the inguinal canal of females, originating from the arcade formed between the uterine and ovarian arteries. Usually obliterated in postembryonic development, this artery can persist in some adult female patients. Disruption of Sampson’s artery can lead to hemoperitoneum following ligation of the uterine round ligament during open inguinal hernia repair in females. This case report describes a third confirmed case of hemoperitoneum complicating an open inguinal hernia repair. We review all three reported cases to date and discuss the recurring signs, symptoms, epidemiologic factors, and diagnostic findings associated. Our review suggests that females of childbearing age, particularly those in the peripartum period, are most at risk of developing this rare complication.