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Percutaneous Embolization of the Superior Epigastric Artery in the
setting of Rectus Sheath Hematoma: About two Case Reports
Autor: Pedro Pereira, Tiago Bilhim, Filipe Veloso Gomes, Élia Coimbra
Rectus sheath hematomas are a frequent
complication of anticoagulant therapy. Even
though most are treated conservatively, they
can become a life threatening condition.
Angiography with transarterial embolization
is a known effective treatment option in those
cases. However most available literature refers
to hematomas originating from the inferior
epigastric artery. With these two case reports and
a review of the relevant literature, we intend to
raise awareness to the need of investigating the
superior epigastric artery territory in patients
with hematomas extending high in the abdominal
wall or following unsuccessful embolization of
the inferior epigastric artery territory.
Keywords
Abdomen rectus muscle; Hematoma; Superior
epigastric artery; Embolization.
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Rectus sheath hematomas are a frequent
complication of anticoagulant therapy. Even
though most are treated conservatively, they
can become a life threatening condition.
Angiography with transarterial embolization
is a known effective treatment option in those
cases. However most available literature refers
to hematomas originating from the inferior
epigastric artery. With these two case reports and
a review of the relevant literature, we intend to
raise awareness to the need of investigating the
superior epigastric artery territory in patients
with hematomas extending high in the abdominal
wall or following unsuccessful embolization of
the inferior epigastric artery territory.
Keywords
Abdomen rectus muscle; Hematoma; Superior
epigastric artery; Embolization.
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