복부 둔상에 의한 얕은엉덩휘돌이동맥 파열의 혈관조영색전술을 통한 성공적인 치료: 증례보고

Successful Angiographic Embolization of Superficial Circumflex Iliac Artery Rupture Caused by Blunt Abdominal Trauma: A Case Report

  • 이상봉 (부산대학교병원 외상외과) ;
  • 박성진 (부산대학교병원 외상외과) ;
  • 여광희 (부산대학교병원 외상외과) ;
  • 김호현 (부산대학교병원 외상외과) ;
  • 박찬용 (부산대학교병원 외상외과) ;
  • 김재훈 (부산대학교병원 외상외과) ;
  • 김창완 (부산대학교병원 외상외과) ;
  • 최선우 (부산대학교병원 외상외과) ;
  • 김선희 (부산대학교병원 외상외과) ;
  • 황정주 (부산대학교병원 외상외과) ;
  • 조현민 (부산대학교병원 외상외과)
  • Lee, Sang Bong (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Park, Sung Jin (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Yeo, Kwang Hee (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Kim, Ho Hyun (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Park, Chan-Yong (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Kim, Jae Hun (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Kim, Chang Wan (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Choi, Seon Uoo (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Kim, Seon Hee (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Hwang, Jung Joo (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Cho, Hyun Min (Department of Trauma Surgery, Pusan National University Hospital)
  • 투고 : 2015.01.11
  • 심사 : 2015.03.19
  • 발행 : 2015.03.31

초록

Lat. abdominal wall hematoma with active bleeding is very rare but need prompt bleeding control. We report successful treatment by angiographic embolization of superficial circumflex iliac artery rupture caused by blunt trauma. A 60-year-old woman presented painful, enlarging, lat. abdominal wall mass with ecchymosis caused by blunt abdominal trauma. Contrast leakage of superficial circumflex iliac a. within the lt. ext. oblique m. hematoma was confirmed by abdominal computed tomography. Angiographic embolization was performed successfully. Patient was discharged at 4th day after trauma without complication. Angiographic embolization is important treatment option of lat. abdominal wall hematoma with active bleeding replacing emergency surgery.

키워드

참고문헌

  1. Tai CM, Liu KL, Chen CC, Lin JT, Wang HP. Lateral abdominal wall hematoma due to tear of internal abdominal oblique muscle in a patient under warfarin therapy. Am J Emerg Med 2005; 23: 911-2. https://doi.org/10.1016/j.ajem.2005.04.013
  2. Shimodaira M, Kitano T, Kibata M, Shirahata K. An oblique muscle hematoma as a rare cause of severe abdominal pain: a case report. BMC Research Notes 2013; 6: 18-20. https://doi.org/10.1186/1756-0500-6-18
  3. Shimizu T, Hanasawa K, Yoshioka T, Mori T, Kajinami T, Yokoyama K, et al. Spontaneous hematoma of the lateral abdominal wall caused by a rupture of a deep circumflex iliac artery: report of two cases. Surg Today 2003; 33: 475-8. https://doi.org/10.1007/s10595-002-2512-1
  4. Turnage RH, Badgwell B. Abdominal wall, umbilicus, peritoneum, mesenteries, omentum, and retroperitoneum. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL eds. Sabiston textbook of surgery: the biological basis of modern surgical practice.19th ed. Philadelphia: Elsevier Saunders; 2012: 1088-113.
  5. Cherry WB, Mueller PS. Rectus sheath hematoma: Review of 126 cases at a single institution. Medicine (Baltimore) 2006; 85: 105-10. https://doi.org/10.1097/01.md.0000216818.13067.5a
  6. Linhares MM, Lopes Filho GJ, Bruna PC, Ricca AB, Sato NY, Sacalabrini M. Spontaneous hematoma of the rectus abdominis sheath: a review of 177 cases with report of 7 personal cases. Int Surg 1999; 84: 251-7.
  7. Day RW, O'Donnell ME, Huettl, EA, Naidu SG, Eversman WG, Douglas DD. Successful Coil Embolization of Circumflex Iliac Artery Pseudoaneurysms Following Paracentesis. Vasc Endovasc Surg 2014; 48: 262-6. https://doi.org/10.1177/1538574413518115
  8. Fukunaga, N, Satoh K, Ikeyama S, Satomi J. Lateral abdominal wall hematoma as a rare complication after carotid artery stenting: a case report World J Emerg Surg 2009; 4: 39-41. https://doi.org/10.1186/1749-7922-4-39
  9. Tomoe N, Tatsuyuki I, Daihiko E, Kinya Y, Daisuke T, Katsumi S, et al. Spontaneous internal oblique hematoma successfully treated by transcatheter arterial embolization. Radiat Med 2008; 26: 446-9. https://doi.org/10.1007/s11604-008-0254-7
  10. Moreno GA, Aguayo JL, Flores B, Soria T, Hernandez Q, Ortiz S, et al. Ultrasonography and computed tomography reduce unnecessary surgery in abdominal rectus sheath haematoma. Br J Surg 1997; 4: 1295-7.
  11. Rimola J, Perendreu J, Falco J, Fortuno JR, Massuet A, Branera J. Percutaneous arterial embolization in the management of rectus sheath hematoma. Am J Roentgenol 2007; 188: 497-502. https://doi.org/10.2214/AJR.06.0861