Transcatheter embolization of a pseudoaneurysm of the inferior epigastric artery with N-butyl cyanoacrylate

A 41-year-old man presented with alcoholic liver cirrhosis with ascites and clotting abnormality. After therapeutic paracentesis, haemoperitoneum ensued without colour Doppler ultrasound or CT evidence of pseudoaneurysm or haematoma at the site of paracentesis. However, an angiogram of the inferior...

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Bibliographic Details
Published in:British journal of radiology 2008-03, Vol.81 (963), p.e64-e67
Main Authors: Park, S W, Choe, W H, Lee, C H, Lee, M W, Kim, Y J, Kwon, S Y, Jeon, H J
Format: Article
Language:English
Subjects:
Adult
Aneurysm, False - diagnostic imaging
Aneurysm, False - etiology
Aneurysm, False - therapy
Angiography
Embolization, Therapeutic - methods
Enbucrilate - therapeutic use
Epigastric Arteries - diagnostic imaging
Epigastric Arteries - surgery
Humans
Liver Cirrhosis, Alcoholic - therapy
Male
Paracentesis - adverse effects
Tissue Adhesives - therapeutic use
Tomography, X-Ray Computed
Ultrasonography, Doppler, Color
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Summary:A 41-year-old man presented with alcoholic liver cirrhosis with ascites and clotting abnormality. After therapeutic paracentesis, haemoperitoneum ensued without colour Doppler ultrasound or CT evidence of pseudoaneurysm or haematoma at the site of paracentesis. However, an angiogram of the inferior epigastric artery revealed an obvious small pseudoaneurysm arising from its small muscular branch, and this pseudoaneurysm was successfully treated by transcatheter embolization with N-butyl cyanoacrylate. Transcatheter embolization with N-butyl cyanoacrylate is useful treatment for pseudoaneurysms arising from the small muscular branch of the inferior epigastric artery, which cannot be catheterized superselectively close to the pseudoaneurysm.
ISSN:0007-1285
1748-880X
DOI:10.1259/bjr/86813899