During laparoscopic entry, which condition is specifically associated with an increased risk of injury from trocar insertion?

• A. Visceral arterial aneurysm
• B. Hypertension with good control
• C. Pregnancy
• D. Untreated sleep apnea

Answer: (A)

The main idea is that injuries during laparoscopic entry are most likely if there is a preexisting vascular abnormality that can be easily damaged by a blind instrument passage. A visceral arterial aneurysm is a weakened, dilated artery in an abdominal organ. If a trocar or Veress needle contacts or punctures this aneurysm, it can rupture or tear, causing rapid, life‑threatening bleeding that may be difficult to control because the vessel is inherently fragile and located within the abdomen.

Other conditions listed do not directly create a vulnerable vascular target for trocar entry. Pregnancy mainly raises concern for the enlarged uterus and potential uterine injury during entry rather than an increased risk of injuring a visceral artery from the instrument. Hypertension that is well controlled does not by itself make vessels more susceptible to puncture injury during entry. Sleep apnea has no direct impact on the risk of trocar-related vascular injury.