title: Deep circumflex iliac artery-related hemoperitoneum formation after surgical drain placement: successful transcatheter embolization.
abstract: A 53-year-old woman with liver cirrhosis and hepatocellular carcinoma underwent living donor liver transplantation. After transplantation, her hemoglobin and hematocrit levels decreased to 6.3 g/dl and 18.5%, respectively, during the course of 3 days. A contrast-enhanced abdominal computed axial tomography (CAT) scan showed a hemoperitoneum in the right perihepatic space with no evidence of abdominal wall hematoma or pseudoaneurysm formation. An angiogram of the deep circumflex iliac artery (DCIA) showed extravasation of contrast media along the surgical drain, which had been inserted during the transplantation procedure. Transcatheter embolization of the branches of the DCIA was successfully performed using N-butyl cyanoacrylate.
authors.affiliation: Department of Radiology, Konkuk University Hospital, Seoul, Republic of Korea.
authors.forename: Sang Woo
authors.initials: SW
authors.lastname: Park
authors.forename: Seong-Hwan
authors.initials: SH
authors.lastname: Chang
authors.forename: Ik Jin
authors.initials: IJ
authors.lastname: Yun
authors.forename: Hae Won
authors.initials: HW
authors.lastname: Lee
mesh_terms: D000792:Angiography / Q000379:methods; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis / Q000601:surgery; D003287:Contrast Media; D004322:Drainage / Q000009:adverse effects* / Q000295:instrumentation; D004621:Embolization, Therapeutic / Q000379:methods*; D004659:Enbucrilate / Q000494:pharmacology; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000000981:diagnostic imaging; D005260:Female; D005500:Follow-Up Studies; D006465:Hemoperitoneum / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D008103:Liver Cirrhosis / Q000175:diagnosis / Q000601:surgery; D008113:Liver Neoplasms / Q000175:diagnosis / Q000601:surgery; D016031:Liver Transplantation / Q000009:adverse effects / Q000379:methods*; D019520:Living Donors; D008875:Middle Aged; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D003287:Contrast Media; D004659:Enbucrilate