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

Lee,  Sang Bong; Park,  Sung Jin; Yeo,  Kwang Hee; Kim,  Ho Hyun; Park,  Chan Yong; Kim,  Jae Hun; Kim,  Chang Wan; Choi,  Seon Uoo; Kim,  Seon Hee; Hwang,  Jung Joo; Cho,  Hyun Min

doi:2015.28.1.39

J Trauma Inj > Volume 28(1); 2015 > Article

Case Report

Journal of Trauma and Injury 2015;28(1):39-42.
DOI: https://doi.org/10.20408/jti.2015.28.1.39 Published online March 30, 2015.

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

Sang Bong Lee, Sung Jin Park, Kwang Hee Yeo, Ho Hyun Kim, Chan Yong Park, Jae Hun Kim, Chang Wan Kim, Seon Uoo Choi, Seon Hee Kim, Jung Joo Hwang, Hyun Min Cho

Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea. psj-ok@hanmail.net

복부 둔상에 의한 얕은엉덩휘돌이동맥 파열의 혈관조영색전술을 통한 성공적인 치료: 증례보고

이상봉, 박성진, 여광희, 김호현, 박찬용, 김재훈, 김창완, 최선우, 김선희, 황정주, 조현민

부산대학교병원 외상외과

Received: 11 January 2015 • Revised: 19 March 2015 • Accepted: 19 March 2015

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.

Key Words: Lateral abdominal wall hematoma; Oblique muscle hematoma; Superficial circumflex iliac artery; Embolization; Blunt abdominal trauma