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

복부 둔상에 의한 얕은엉덩휘돌이동맥 파열의 혈관조영색전술을 통한 성공적인 치료: 증례보고

  • Lee, Sang Bong (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Park, Sung Jin (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Yeo, Kwang Hee (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Kim, Ho Hyun (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Park, Chan-Yong (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Kim, Jae Hun (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Kim, Chang Wan (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Choi, Seon Uoo (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Kim, Seon Hee (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Hwang, Jung Joo (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Cho, Hyun Min (Department of Trauma Surgery, Pusan National University Hospital)
  • 이상봉 (부산대학교병원 외상외과) ;
  • 박성진 (부산대학교병원 외상외과) ;
  • 여광희 (부산대학교병원 외상외과) ;
  • 김호현 (부산대학교병원 외상외과) ;
  • 박찬용 (부산대학교병원 외상외과) ;
  • 김재훈 (부산대학교병원 외상외과) ;
  • 김창완 (부산대학교병원 외상외과) ;
  • 최선우 (부산대학교병원 외상외과) ;
  • 김선희 (부산대학교병원 외상외과) ;
  • 황정주 (부산대학교병원 외상외과) ;
  • 조현민 (부산대학교병원 외상외과)
  • Received : 2015.01.11
  • Accepted : 2015.03.19
  • Published : 2015.03.31

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.

Keywords

References

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