J Korean Radiol Soc.  2004 Jun;50(6):423-426. 10.3348/jkrs.2004.50.6.423.

Expanding Hematoma of the Abdominal Wall Caused by Spontaneous Rupture of a Deep Circumflex Iliac Artery:Report of A Case Treated by Coil Embolization

• Baik JH
• Park YH
• Jeon JS
• Hwang SS
• Ihn YK

• KMID: 1833815
• DOI: http://doi.org/10.3348/jkrs.2004.50.6.423

Abstract

Abdominal wall hematoma is a rare but well-known disease, usually caused by trauma or, on rare occasions, occurring spontaneously. Hematomas of the rectus sheath and the anterolateral abdominal wall are commonly associated with injury to the inferior epigastric artery and the deep circumflex iliac artery, respectively. The diagnosis of spontaneously developed abdominal wall hematoma is sometimes delayed, due its clinical manifestations being similar to those of other causes of the acute abdomen. CT and angiography can be helpful in the diagnosis of the hematoma and the injured vessel. Herein, we report on a rare case of a spontaneously developed anterolateral abdominal wall hematoma treated with microcoil embolization of the left deep circumflex iliac artery.

Keyword

Hemorrhage, abdomen; Artery, embolization

MeSH Terms

Abdomen, Acute
Abdominal Wall*
Angiography
Diagnosis
Embolization, Therapeutic*
Epigastric Arteries
Hematoma*
Iliac Artery
Rupture, Spontaneous*