Inferior epigastric artery false aneurysms: review of the literature and case report.
ABSTRACT 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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ABSTRACT: Pseudoaneurysm of inferior epigastric artery (IEA) is a very rare clinical entity. We reported a case of combined kidney transplant and pseudoaneurysmectomy in a young HBV-HCV-HIV recipient. This case emphasizes the possibility of planning a safe and correct surgical treatment and the best timing to treat IEA pseudoaneurysm. An exhaustive preoperative radiological study in all patients candidate to kidney transplant could identify the possible aortoiliac disease both stenotic or dilatative even if it is rare and helps to define the best treatment options.Case reports in transplantation. 01/2013; 2013:459320.
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ABSTRACT: Objective This study describes use of ethylene vinyl alcohol copolymer (EVOH) dissolved in anhydrous dimethyl sulfoxide (DMSO) and mixed with tantalum powder to achieve radiopacity as an effective, safe, and manageable embolic agent in endovascular treatment of artery haemorrhages. Materials and methods Twenty patients with pseudoaneurysms secondary to biopsy, or surgery were treated, 11 musculoskeletal arteries, 9 visceral (4 gastroduodenal arteries). A diagnostic angiographic procedure that showed the artery lesion was always performed. Embolization was performed immediately, followed by post-embolization angiographic control. Transcatheter embolization was always performed, using a coaxial system consisting of a 4F hydrophilic guide catheter with 0.038” diameter, a microcatheter compatible with DMSO administration (Rebar microcatheter), and a microguide. All cases progressed with acute hemorrhagic syndrome of variable intensity. There were nine cases with hemorrhagic shock. Results All cases were satisfactorily resolved without recurrence of bleeding during follow-up. Conclusions Our experience with selective embolization of spontaneous or traumatic artery bleeding with Onyx has been excellent due to its simple, rapid, and safe useRadiología. 12/2008; 50(6).
- European journal of obstetrics, gynecology, and reproductive biology 11/2013; · 1.97 Impact Factor