Inferior Epigastric Artery False Aneurysms: Review of the Literature and Case Report

Democritus University of Thrace, Komotina, East Macedonia and Thrace, Greece
European Journal of Vascular and Endovascular Surgery (Impact Factor: 2.49). 03/2007; 33(2):182-6. DOI: 10.1016/j.ejvs.2006.08.006
Source: PubMed


A case report is presented of a IEA false aneurysm successfully embolized in a 50-year old man following a blunt abdominal injury. A literature review revealed another 15 cases. Most cases were iatrogenic (13/16) complicating abdominal wall procedures. Treatment options included open surgery (8 cases), percutaneous coil embolization (6), ultrasound guided thrombin injection or ultrasound guided compression (2). The selected treatment (surgical or non-surgical) was not affected by the size of the aneurysm (p=0.6) and was successful in all patients. However two of the non-surgically removed lesions (25%) remained unchanged in size for a long time causing discomfort. IEA false aneurysms represent an uncommon entity. Open surgery for IEA false aneurysms is easy and cheap. Endovascular approaches can lead to a long delay in resolution of the problem.

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    • "Pseudoaneurysms of inferior epigastric artery are well recognized complications of the abdominal wall surgery or trauma [10]. In this case, however, we inferred that it derived from others rather than inferior epigastric artery, according to the anatomical location although we could not confirm the feeding and the exiting vessels because superior abdominal wall is supplied by superior epigastric artery, musculophrenic artery and thoracic intercostal artery. "
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    ABSTRACT: True aneurysms of the epigastric artery are rare. We report a case of a 65-year-old female who was admitted for increasing upper abdominal pain. A leukocytosis, pyrexia, breathing stop on inspiration, and a palpable mass next to the right costal arch with severe local pain were suspicious for acute cholecystitis. Surprisingly, sonography and CT scan revealed a 5 x 4 cm structure limited to the abdominal wall directly above the gallbladder, which showed an arterial flow in the duplex scan. After resection and an uneventful postoperative course, the histological findings confirmed the diagnosis of a symptomatic true atherosclerotic aneurysm.
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