Which of the following is a potential complication of Veress needle insertion?

• A. Bowel injury
• B. Hair loss
• C. Hyperglycemia
• D. Muscle cramps

Answer: (A)

Veress needle insertion aims to quickly create a working space by introducing CO2 into the peritoneal cavity, but because the needle is advanced blindly, there is a real risk of injuring structures that lie along its path. The bowel is a common structure at risk, especially if the needle is directed too medially or if there are adhesions bringing bowel into contact with the abdominal wall. A perforation can cause leakage into the peritoneal cavity, leading to peritonitis and requiring prompt management.

The other options don’t reflect typical immediate complications of this entry technique: hair loss is not related to laparoscopic access, hyperglycemia is not caused by needle insertion, and muscle cramps aren’t a direct consequence of the Veress entry itself.