Recurrent rupture of a hypogastric aneurysm caused by spontaneous recanalization of an Amplatzer vascular plug.
A patient with a ruptured hypogastric aneurysm was treated via an endovascular approach with coils in the outflow vessels and an Amplatzer vascular plug (AVP) in the main trunk. After 4 weeks, the patient was readmitted with a recurrence of rupture of the hypogastric aneurysm caused by recanalization of the AVP. Final occlusion of the hypogastric artery was achieved by placement of a stent-graft and additional coils. In consideration of this experience, it is recommended that additional coils or several AVPs be used and early contrast medium-enhanced computed tomography follow-up be performed.
Dorenberg
Eric J
EJ
Department of Radiology, Rikshospitalet University Hospital, Sognsvannsveien 14, 0027 Oslo, Norway. eric.dorenberg@rikshospitalet.no
Hafsahl
Geir
G
Andersen
Rune
R
Krohg-Sørensen
Kirsten
K
D000369:Aged, 80 and over; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D003287:Contrast Media; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D006801:Humans; D008297:Male; D012008:Recurrence; D015607:Stents; D013270:Stomach / Q000098:blood supply*; D014057:Tomography, X-Ray Computed
D003287:Contrast Media