Inferior epigastric artery false aneurysms: review of the literature and case report.
A case report is presented of a IEA false aneurysm successfully embolized in a 50-year old man following a blunt abdominal injury. A literature review revealed another 15 cases. Most cases were iatrogenic (13/16) complicating abdominal wall procedures. Treatment options included open surgery (8 cases), percutaneous coil embolization (6), ultrasound guided thrombin injection or ultrasound guided compression (2). The selected treatment (surgical or non-surgical) was not affected by the size of the aneurysm (p=0.6) and was successful in all patients. However two of the non-surgically removed lesions (25%) remained unchanged in size for a long time causing discomfort. IEA false aneurysms represent an uncommon entity. Open surgery for IEA false aneurysms is easy and cheap. Endovascular approaches can lead to a long delay in resolution of the problem.
Georgiadis
G S
GS
Department of Vascular Surgery, Demokritos University Hospital, Alexandroupolis, Greece.
Souftas
V D
VD
Papas
T T
TT
Lazarides
M K
MK
Prassopoulos
P
P
D000007:Abdominal Injuries / Q000150:complications / Q000175:diagnosis; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D000792:Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D019074:Epigastric Arteries; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis