Transcatheter Arterial Embolization for Spontaneous Rupture of the Omental Artery

Journal Article · Tue Feb 15 04:00:00 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]

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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, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 2 Vol. 34; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

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62 RADIOLOGY AND NUCLEAR MEDICINE
ANIMALS
ARTERIES
BLOOD VESSELS
BODY
CARDIOVASCULAR SYSTEM
COMPUTERIZED TOMOGRAPHY
DIAGNOSTIC TECHNIQUES
DISEASES
FAILURES
HEMATOMAS
INJURIES
MAMMALS
MAN
MEDICINE
MEMBRANES
MESENTERY
NEOPLASMS
ORGANS
PAIN
PATIENTS
PRIMATES
RUPTURES
SEROUS MEMBRANES
SURGERY
SYMPTOMS
TOMOGRAPHY
VERTEBRATES