Transcatheter arterial embolization for hemoperitoneum: Unusual manifestation of iatrogenic injury to abdominal muscular arteries

Sang Woo Park, Su Yeon Ko, So Young Yoon, Won Hyeok Choe, Ik Jin Yun, Seong Hwan Chang, Jong Yun Won, Hwan Hoon Chung

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Purpose: To evaluate the etiology of unusual manifestation of hemoperitoneum and the efficacy of transcatheter arterial embolization (TAE). Materials and methods: A retrospective review of patients at three hospitals was performed. A total of 12 patients (M:F = 5:7, mean age: 48) had massive hemoperitoneum without evidence of an intramuscular hematoma on CT (n = 10) or US (n = 2) after injury to the abdominal wall. The patients underwent TAE. The etiology of iatrogenic injury to the abdominal muscular arteries and the effectiveness of embolization were evaluated. Results: Among 12 patients, 11 patients had injuries to the inferior epigastric artery (IEA) and one patient had an injury to the deep circumflex iliac artery (DCIA). The causes of the injuries were: paracentesis (n = 6), open laparotomy (n = 4), removal of a CAPD catheter (n = 1), and surgical drain (n = 1). The TAE was successfully performed in all patients. Over 10 days of follow-up after the embolization, all patients were stabilized hemodynamically. Conclusion: Injury to the IEA or DCIA should be considered as a possible source of hemoperitoneum even in patients with no evidence of an intramuscular hematoma after injury to the superficial arteries of the abdominal wall. In addition, such injuries can be treated successfully using TAE.

Original languageEnglish
Pages (from-to)74-78
Number of pages5
JournalAbdominal Imaging
Volume36
Issue number1
DOIs
Publication statusPublished - 2011 Feb 1

Fingerprint

Hemoperitoneum
Abdominal Injuries
Arteries
Wounds and Injuries
Epigastric Arteries
Iliac Artery
Abdominal Wall
Hematoma
Paracentesis
Continuous Ambulatory Peritoneal Dialysis
Laparotomy
Catheters

Keywords

  • Angiography
  • Embolization
  • Etiology
  • Hemoperitoneum
  • Interventional radiology

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging
  • Gastroenterology
  • Urology

Cite this

Transcatheter arterial embolization for hemoperitoneum : Unusual manifestation of iatrogenic injury to abdominal muscular arteries. / Park, Sang Woo; Ko, Su Yeon; Yoon, So Young; Choe, Won Hyeok; Yun, Ik Jin; Chang, Seong Hwan; Won, Jong Yun; Chung, Hwan Hoon.

In: Abdominal Imaging, Vol. 36, No. 1, 01.02.2011, p. 74-78.

Research output: Contribution to journalArticle

Park, Sang Woo ; Ko, Su Yeon ; Yoon, So Young ; Choe, Won Hyeok ; Yun, Ik Jin ; Chang, Seong Hwan ; Won, Jong Yun ; Chung, Hwan Hoon. / Transcatheter arterial embolization for hemoperitoneum : Unusual manifestation of iatrogenic injury to abdominal muscular arteries. In: Abdominal Imaging. 2011 ; Vol. 36, No. 1. pp. 74-78.
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