Transcatheter Arterial Embolization for Spontaneous Rupture of the Omental Artery

Journal Article · Tue Feb 15 00:00:00 EST 2011 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-010-9956-1· OSTI ID:21608746

Matsumoto, Tomohiro ^[1]; Yamagami, Takuji ^[2]; Morishita, Hiroyuki; Iida, Shigeharu; Tazoe, Jun; Asai, Shunsuke; Masui, Koji ^[1]; Ikeda, Jun ^[3]; Nagata, Akihiro ^[4]; Sato, Osamu ^[1]; Nishimura, Tsunehiko ^[2]

---

1. Kyoto First Red Cross Hospital, Department of Radiology (Japan)
2. Kyoto Prefectural University of Medicine, Department of Radiology, Graduate School of Medical Science (Japan)
3. Kyoto First Red Cross Hospital, Departments of Surgery and Emergency (Japan)
4. Kyoto First Red Cross Hospital, Department of Pathology (Japan)

We encountered a rare case of spontaneous rupture of the omental artery. A 25-year-old man without any episode of abdominal trauma or bleeding disorders came to the emergency unit with left upper abdominal pain. Hematoma with extravasation of the greater omentum and a hemoperitoneum was confirmed on abdominal contrast-enhanced computed tomography. Bleeding from the omental artery was suspected based on these findings. Transcatheter arterial embolization was successfully performed after extravasation of the omental artery, which arises from the left gastroepiploic artery, was confirmed on arteriography. Partial ometectomy was performed 10 days after transcatheter arterial embolization, revealing that the hematoma measured 10 cm in diameter in the greater omentum. Pathological examination showed rupture of the branch of an omental artery without abnormal findings, such as an aneurysm or neoplasm. Thus, we diagnosed him with spontaneous rupture of the omental artery. The patient recovered and was discharged from the hospital 10 days after the surgery, with a favorable postoperative course.

• OSTI ID: 21608746
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 34, Issue 2; Other Information: DOI: 10.1007/s00270-010-9956-1; Copyright (c) 2011 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); 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
ARTERIES
COMPUTERIZED TOMOGRAPHY
HEMATOMAS
INJURIES
MAN
MESENTERY
NEOPLASMS
PAIN
PATIENTS
RUPTURES
SURGERY
ANIMALS
BLOOD VESSELS
BODY
CARDIOVASCULAR SYSTEM
DIAGNOSTIC TECHNIQUES
DISEASES
FAILURES
MAMMALS
MEDICINE
MEMBRANES
ORGANS
PRIMATES
SEROUS MEMBRANES
SYMPTOMS
TOMOGRAPHY
VERTEBRATES