title: Inferior epigastric artery false aneurysms: review of the literature and case report.
abstract: 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.
authors.affiliation: Department of Vascular Surgery, Demokritos University Hospital, Alexandroupolis, Greece.
authors.forename: G S
authors.initials: GS
authors.lastname: Georgiadis
authors.forename: V D
authors.initials: VD
authors.lastname: Souftas
authors.forename: T T
authors.initials: TT
authors.lastname: Papas
authors.forename: M K
authors.initials: MK
authors.lastname: Lazarides
authors.forename: P
authors.initials: P
authors.lastname: Prassopoulos
mesh_terms: 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