[Internal hemorrhage in abdominal dermolipectomy. 2 reported cases, one of which needing emergency surgical repair of aortic fissure].

The authors report two very exceptional and similar cases. In the first case, during abdominal lipectomy, the surgical team was confronted suddenly with an internal hemorrhage requiring prompt resuscitation by the anesthetist. Laparatomy revealed an aortic fissure, one centimeter above the iliac bifurcation. Bleeding was controlled by clamping the aorta, followed by suturing of the fissure. Surgery was then completed uneventfully. The second patient developed a retroperitoneal hematoma confirmed by postoperative CT scan during lipectomy and liposuction. No further treatment was required after control of the hemorrhage. No such cases have been reported in the literature and the etiology of these cases remains unclear.