Transcatheter arterial embolization for spontaneous rupture of the omental artery.
We encountered a rare case of spontaneous rupture of the omental artery. A 25-year-old man without any episode of abdominal trauma or bleeding disorders came to the emergency unit with left upper abdominal pain. Hematoma with extravasation of the greater omentum and a hemoperitoneum was confirmed on abdominal contrast-enhanced computed tomography. Bleeding from the omental artery was suspected based on these findings. Transcatheter arterial embolization was successfully performed after extravasation of the omental artery, which arises from the left gastroepiploic artery, was confirmed on arteriography. Partial ometectomy was performed 10 days after transcatheter arterial embolization, revealing that the hematoma measured 10 cm in diameter in the greater omentum. Pathological examination showed rupture of the branch of an omental artery without abnormal findings, such as an aneurysm or neoplasm. Thus, we diagnosed him with spontaneous rupture of the omental artery. The patient recovered and was discharged from the hospital 10 days after the surgery, with a favorable postoperative course.
Matsumoto
Tomohiro
T
Department of Radiology, Kyoto First Red Cross Hospital, 15-749 Honmachi, Higashiyama, Kyoto 605-0981, Japan. t-matsu@koto.kpu-m.ac.jp
Yamagami
Takuji
T
Morishita
Hiroyuki
H
Iida
Shigeharu
S
Tazoe
Jun
J
Asai
Shunsuke
S
Masui
Koji
K
Ikeda
Jun
J
Nagata
Akihiro
A
Sato
Osamu
O
Nishimura
Tsunehiko
T
D000328:Adult; D000792:Angiography; D001158:Arteries / Q000473:pathology; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D024405:Gastroepiploic Artery / Q000000981:diagnostic imaging; D006465:Hemoperitoneum / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008297:Male; D009852:Omentum / Q000098:blood supply* / Q000601:surgery; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed