Transcatheter embolization of a pseudoaneurysm of the inferior epigastric artery with N-butyl cyanoacrylate

Abstract

A 41-year-old man presented with alcoholic liver cirrhosis with ascites and clotting abnormality. After therapeutic paracentesis, haemoperitoneum ensued without colour Doppler ultrasound or CT evidence of pseudoaneurysm or haematoma at the site of paracentesis. However, an angiogram of the inferior epigastric artery revealed an obvious small pseudoaneurysm arising from its small muscular branch, and this pseudoaneurysm was successfully treated by transcatheter embolization with N-butyl cyanoacrylate. Transcatheter embolization with N-butyl cyanoacrylate is useful treatment for pseudoaneurysms arising from the small muscular branch of the inferior epigastric artery, which cannot be catheterized superselectively close to the pseudoaneurysm.

Transcatheter Arterial Embolisation for Haemorrhage from the Inferior Epigastric Artery after Acupuncture: A Case Report

“…Therefore, Doppler US, abdominal CT and transcatheter angiography are commonly used in parallel to aid accurate diagnosis. 7 Injuries to the inferior epigastric arteries have been treated previously through surgery 8 9 ; transcatheter embolisation with gelfoam, coil, or n-butyl cyanoacrylate glue 7 10-12 ; US-guided thrombin injection 13 ; and US-guided compression.…”

Inferior Epigastric Artery Pseudoaneurysm in a Kidney Transplant Recipient

“…IEA pseudoaneurysm could be treated by feeding vessel surgical ligation and aneurysmectomy [2, 4–7, 9, 10, 12, 25], by percutaneous coil embolisation [3, 8, 13–15, 17–19, 22, 24], by ultrasound guided thrombin injection, by ultrasound guided compression, or by conservative treatment with a spontaneous regression [16, 20, 23]. Surgery is the most invasive treatment and includes the necessity of general anaesthesia and postoperative pain treatment, but the advantage is the quick resolution of the symptoms with the removal of the mass effect caused by the pseudoaneurysm [18].…”

Transcatheter coil embolization of the inferior epigastric artery in a huge abdominal wall hematoma caused by paracentesis in a patient with liver cirrhosis

“…Depending the severity of bleeding, inferior epigastric arterial injury and pseudoaneurysmal bleeding can be treated with all of vessel ligation under the open laparatomy, transcatheter coil embolization, percutaenous thrombin injection via Doppler US and US guided compression against the lesion 6. In the treatment of relatively small sized hematoma of pseudoaneurysm, Doppler US guided thrombin injection or direct compression seemed to be safe and efficient.…”

“…However, the case of bleeding by direct injury of native inferior epigastric artery without aneurismal formation has not been reported 6. We here report a case of patient with advanced liver cirrhosis who was developed a huge abdominal wall hematoma by therapeutic paracentesis and was treated successfully with transcatheter coil embolization of left inferior epigastric artery.…”