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- Title
When the Conventional Treatment Fails: A Rare Approach to Superior Mesenteric Arterial Embolization.
- Authors
Haymet, Andrew B.; Lee, Daniel; Ho-Shon, Kevin; Waugh, Richard
- Abstract
Retroperitoneal haemorrhage is a rare but potentially life-threatening event. It may occur either spontaneously or secondary to percutaneous vascular access procedures, trauma, or ruptured aortic, iliac, or mesenteric aneurysms. As a result, the clinical presentation is variable. Computed tomography and/or angiography are vital for diagnosis. Management may range from conservative treatment for stable patients to emergency laparotomy or embolization for catastrophic haemorrhage. Direct percutaneous puncture of a deep intra-abdominal pseudoaneurysm is an accepted but infrequently performed technique due to a number of diagnostic and technical challenges. We describe the successful percutaneous transabdominal angioembolization of a superior mesenteric artery rupture in a 77-year-old woman with a large retroperitoneal haematoma. This was performed after a conventional femoral transarterial approach was unsuccessful.
- Subjects
HEMORRHAGE prevention; ABDOMINAL surgery; ANGIOGRAPHY; COMPUTED tomography; RARE diseases; RETROPERITONEUM; THERAPEUTIC embolization; SUPERIOR mesenteric artery syndrome
- Publication
Vascular & Endovascular Surgery, 2020, Vol 54, Issue 2, p169
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574419886187