Deep circumflex iliac artery-related hemoperitoneum formation after surgical drain placement: successful transcatheter embolization.
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.
Park
Sang Woo
SW
Department of Radiology, Konkuk University Hospital, Seoul, Republic of Korea.
Chang
Seong-Hwan
SH
Yun
Ik Jin
IJ
Lee
Hae Won
HW
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
D003287:Contrast Media; D004659:Enbucrilate