J Korean Soc Traumatol.  2015 Mar;28(1):39-42. 10.0000/jti.2015.28.1.39.

Successful Angiographic Embolization of Superficial Circumflex Iliac Artery Rupture Caused by Blunt Abdominal Trauma: A Case Report

Affiliations
  • 1Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea. psj-ok@hanmail.net

Abstract

Lat. abdominal wall hematoma with active bleeding is very rare but need prompt bleeding control. We report successful treatment by angiographic embolization of superficial circumflex iliac artery rupture caused by blunt trauma. A 60-year-old woman presented painful, enlarging, lat. abdominal wall mass with ecchymosis caused by blunt abdominal trauma. Contrast leakage of superficial circumflex iliac a. within the lt. ext. oblique m. hematoma was confirmed by abdominal computed tomography. Angiographic embolization was performed successfully. Patient was discharged at 4th day after trauma without complication. Angiographic embolization is important treatment option of lat. abdominal wall hematoma with active bleeding replacing emergency surgery.

Keyword

Lateral abdominal wall hematoma; Oblique muscle hematoma; Superficial circumflex iliac artery; Embolization; Blunt abdominal trauma

MeSH Terms

Abdominal Wall
Ecchymosis
Emergencies
Female
Hematoma
Hemorrhage
Humans
Iliac Artery*
Middle Aged
Rupture*
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