When the conventional treatment fails

a rare approach to superior mesenteric arterial embolization

Andrew B. Haymet*, Daniel Lee, Kevin Ho-Shon, Richard Waugh

*Corresponding author for this work

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)169-171
Number of pages3
JournalVascular and Endovascular Surgery
Volume54
Issue number2
Early online date12 Nov 2019
DOIs
Publication statusPublished - 1 Feb 2020
Externally publishedYes

Keywords

  • angioembolization
  • haemorrhage
  • superior mesenteric
  • transabdominal

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