J Trauma Inj.  2022 Jun;35(2):128-130. 10.20408/jti.2020.0079.

Successful endovascular embolization for traumatic subcutaneous abdominal wall hematoma via the superficial inferior epigastric artery: a case report

• Moon SN
• Seo SH
• Jung HS

• KMID: 2540350
• DOI: http://doi.org/10.20408/jti.2020.0079

Abstract

Abdominal wall hematoma (AWH) after blunt trauma is common, and most cases can be treated conservatively. More invasive treatment is required in patients with traumatic AWH if active bleeding is identified or there is no response to medical treatment. Herein, we report a case of endovascular embolization for traumatic subcutaneous AWH. Almost endovascular treatment for AHW is done through the deep inferior epigastric artery. However, in this case, the superficial inferior epigastric artery was the bleeding focus and embolization target. After understanding the vascular system of the abdominal wall, an endovascular approach and embolization is a safe and effective treatment option for AWH.

Keyword

Abdominal wall; Hematoma; Endovascular procedure; Epigastric artery