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KMID : 0980720090280000150
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Keimyung Medical Journal
2009 Volume.28 No. 0 p.150 ~ p.156
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Efficacy of Embolotherapy in Patients with Abdominal Wall Hemorrhage
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Lee Dong-Gil
Choi Jin-Soo
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Abstract
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Abdominal wall hemorrhage is rare. It can occur spontaneously or as results of surgical trauma, paracentesis, catheter removal, and drainage procedure. Although most patients can be treated with supportive care, abdominal wall hemorrhage often requires embolization of the bleeding vessel or surgery for cases that do not respond to conservative treatment. Herein, we retrospectively analyzed all consecutive patients who underwent embolotherapy for treatment of abdominal wall hemorrhage between May 2004 and July 2009. Thirteen women and two men were included and mean age was 53 years (range, 30-77 years). The injured vessels were treated with transcatheter embolization in thirteen and with percutaneous thrombin injection in two. The causes of abdominal wall hemorrhage were surgical trauma, paracentesis, percutaneous catheterization, and spontaneous hemorrhage, in 7, 4, 3, and 1 patient, respectively. The hemorrhage was manifested as contrast leakage and pseudoaneurysm in 12 and 3 patients, respectively. The technical and clinical success rates of the embolotherapy were 100% and 93%, respectively. In conclusion, the embolotherapy for the treatment of abdominal wall hemorrhage is highly effective and safe.
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KEYWORD
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Abdominal wall, Arteries, Embolization, Hemorrhage
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