Transcatheter Arterial Embolization of Concurrent Spontaneous Hematomas of the Rectus Sheath and Psoas Muscle in Patients Undergoing Anticoagulation

Journal Article · Mon Nov 15 00:00:00 EST 2004 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-004-0192-4· OSTI ID:21088199

Basile, Antonio ^[1]; Medina, Jose Garcia ^[2]; Mundo, Elena ^[1]; Medina, Vicente Garcia ^[3]; Leal, Rafael ^[2]

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1. Ospedale Barone I, Department of Radiology (Italy)
2. Hospital Universitario Virgen de Arrixaca, Department of Radiology (Spain)
3. Hospital General Universitario, Department of Radiology (Spain)

We report a case of concurrent rectus sheath and psoas hematomas in a patient undergoing anticoagulant therapy, treated by transcatheter arterial embolization (TAE) of inferior epigastric and lumbar arteries. Computed tomography (CT) demonstrated signs of active bleeding in two hematomas of the anterior and posterior abdominal walls. Transfemoral arteriogram confirmed the extravasation of contrast from the right inferior epigastric artery (RIEA). Indirect signs of bleeding were also found in a right lumbar artery (RLA). We successfully performed TAE of the feeding arteries. There have been few reports in the literature of such spontaneous hemorrhages in patients undergoing anticoagulation, successfully treated by TAE.

• OSTI ID: 21088199
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 27, Issue 6; Other Information: DOI: 10.1007/s00270-004-0192-4; Copyright (c) 2004 Springer-Verlag New York, LLC; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ANTICOAGULANTS
ARTERIES
COMPUTERIZED TOMOGRAPHY
HEMATOMAS
HEMORRHAGE
MUSCLES
PATIENTS
THERAPY