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Case Reports
. 2017:2017:3420313.
doi: 10.1155/2017/3420313. Epub 2017 Jul 13.

Spontaneous Hematoma of the Rectus Sheath: Urgent Embolization with Squidperi Liquid Embolic Device

Pierluca Torcia  1 , Umberto G Rossi  1 , Silvia Squarza  1 , Maurizio Cariati  1
Affiliations
Case Reports

Spontaneous Hematoma of the Rectus Sheath: Urgent Embolization with Squidperi Liquid Embolic Device

Pierluca Torcia et al. Case Rep Radiol. 2017.

Abstract

We treated a 78-year-old female affected by nontraumatic spontaneous rectus sheath hematoma. We decided to perform the embolization with the new liquid agent Squidperi. Complete exclusion of the bleeding vessel was obtained without complications. Its use should be considered for treatment of nontraumatic rectus sheath hematoma.

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Figures

Figure 1
Figure 1
(a) MD-CT axial view demonstrates the presence of a haematoma into the right rectus sheath (∗) with two spots of active bleeding from distal collaterals of the right inferior epigastric artery (arrowheads). (b) MD-CT coronal Volume Rendering Technique image with right inferior epigastric artery reconstruction (arrowhead) and the haematoma into the right rectus sheath as a red shadow.
Figure 2
Figure 2
(a) Selective right iliac angiography confirmed the two spots of active bleeding (arrows) from distal collaterals of the right epigastric artery (arrowhead). (b) Fluoroscopic control with the right epigastric artery (arrowhead) filled by Squidperi 18 liquid embolic material. (c) Final selective right iliac angiography that confirms the embolization of the right epigastric artery (arrowhead) filled by Squidperi 18 liquid embolic material as a grey shadow.
Figure 3
Figure 3
(a) MD-CT axial view at one month demonstrates the reduction of the haematoma into the right rectus sheath (∗) with two hyperdense artefact due to the Squidperi liquid embolic material. (b) MD-CT coronal Volume Rendering Technique image at three months with right epigastric artery reconstruction (arrowhead) filed by Squidperi 18 liquid embolic material.
See this image and copyright information in PMC

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