Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Abdominal Wall Hematoma as a Rare Complication following Percutaneous Coronary Intervention

  • Moon, In Tae (Division of Cardiology, Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine) ;
  • Shin, Jeong Hun (Division of Cardiology, Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine) ;
  • Sohn, Young Seok (Division of Cardiology, Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine) ;
  • Lee, Ji Young (Division of Cardiology, Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine) ;
  • Park, Hwan Cheol (Division of Cardiology, Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine) ;
  • Choi, Sung Il (Division of Cardiology, Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine) ;
  • Kim, Soon Gil (Division of Cardiology, Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine) ;
  • Oh, Ji Young (Department of Radiology, Hanyang University Guri Hospital, Hanyang University College of Medicine)
  • Received : 2015.04.13
  • Accepted : 2015.06.16
  • Published : 2016.05.30
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Abstract

Abdominal wall hematoma is a rare but potentially serious vascular complication that may develop after coronary angiographic procedures. In particular, an oblique muscle hematoma caused by an injury of the circumflex iliac artery is very rare, yet can be managed by conservative treatment including hydration and transfusion. However, when active bleeding continues, angiographic embolization or surgery might be needed. In this study, we report an uncommon case of injury to the circumflex iliac artery by an inappropriate introduction of the hydrophilic guidewire during the performance of a percutaneous coronary intervention.

Keywords

References

  1. Fukunaga N, Ikeyama S, Satomi J, Satoh K. Lateral abdominal wall hematoma as a rare complication after carotid artery stenting: a case report. World J Emerg Surg 2009;4:39. https://doi.org/10.1186/1749-7922-4-39
  2. Merriweather N, Sulzbach-Hoke LM. Managing risk of complications at femoral vascular access sites in percutaneous coronary intervention. Crit Care Nurse 2012;32:16-29; quiz first page after 29. https://doi.org/10.4037/ccn2012123
  3. Hamel WJ. Femoral artery closure after cardiac catheterization. Crit Care Nurse 2009;29:39-46; quiz 47.
  4. Shimizu T, Hanasawa K, Yoshioka T, et al. Spontaneous hematoma of the lateral abdominal wall caused by a rupture of a deep circumflex iliac artery: report of two cases. Surg Today 2003;33:475-8. https://doi.org/10.1007/s10595-002-2512-1
  5. Ranieri P, Bianchetti A, Robecchi D, Trabucchi M. Spontaneous hematoma of the lateral abdominal wall: a case report. J Am Geriatr Soc 2009;57:2375-6. https://doi.org/10.1111/j.1532-5415.2009.02581.x
  6. Jabr FI, Skeik N. Spontaneous lateral abdominal wall hematoma complicating chronic obstructive pulmonary disease exacerbation. J Med Liban 2011;59:160-1.
  7. Luhmann A, Williams EV. Rectus sheath hematoma: a series of unfortunate events. World J Surg 2006;30:2050-5. https://doi.org/10.1007/s00268-005-0702-9
  8. Dutta S, Sanjay P, Jones ML. Diagnosis and treatment of giant lateral abdominal wall haematoma after blunt trauma: a case report. Cases J 2009;2:9358. https://doi.org/10.1186/1757-1626-2-9358
  9. Shimodaira M, Kitano T, Kibata M, Shirahata K. An oblique muscle hematoma as a rare cause of severe abdominal pain: a case report. BMC Res Notes 2013;6:18. https://doi.org/10.1186/1756-0500-6-18
  10. Fitts J, Ver Lee P, Hofmaster P, Malenka D, Northern New England Cardiovascular Study Group. Fluoroscopy-guided femoral artery puncture reduces the risk of PCI-related vascular complications. J Interv Cardiol 2008;21:273-8. https://doi.org/10.1111/j.1540-8183.2008.00351.x
  11. Bangalore S, Bhatt DL. Femoral arterial access and closure. Circulation 2011;124:e147-56. https://doi.org/10.1161/CIRCULATIONAHA.111.032235