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Inicio Cirugía Española (English Edition) Inferior epigastric artery pseudoaneurysm rupture associated with drain removal ...
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Vol. 101. Núm. 12.
Páginas 864 (diciembre 2023)
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Vol. 101. Núm. 12.
Páginas 864 (diciembre 2023)
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Inferior epigastric artery pseudoaneurysm rupture associated with drain removal causing a large intrapelvic hematoma: bleeding through the drain tract
Hematoma intrapélvico voluminoso por rotura de pseudoaneurisma de arteria epigástrica inferior tras retirada de drenaje abdominal: sangrado a través del trayecto del drenaje
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Luis Gorospea,
Autor para correspondencia
luisgorospe@yahoo.com

Corresponding author.
, Elisa Antolinos-Machoa, Ana Palomera-Ricoa, Silvia Sánchez-Picotb
a Department of Radiology, Ramón y Cajal University Hospital, Madrid, Spain
b Department of General Surgery, Ramón y Cajal University Hospital, Madrid, Spain
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A 46-year-old woman who had undergone pelvic exenteration 2 weeks earlier presented with hypotension 3 h after an abdominal drain had been removed. CT showed an intrapelvic hematoma and pseudoaneurysm of the superficial inferior epigastric artery that was actively bleeding into the pelvis through the tract of the drain tube that had just been removed (Fig. 1). Comparison with a previous CT scan was helpful to verify that the morphology of the bleeding within the tract left by the abdominal drain was similar to the meandering path of the withdrawn surgical drain. We performed percutaneous coil embolization of the winding tract (Fig. 2).

Fig. 1
(0.36MB).
Fig. 2
(0.33MB).

Please cite this article as: Gorospe L, Antolinos-Mach E, Palomera-Rico A, Sánchez-Picot S. Hematoma intrapélvico voluminoso por rotura de pseudoaneurisma de arteria epigástrica inferior tras retirada de drenaje abdominal: sangrado a través del trayecto del drenaje. Cir Esp. 2023. https://doi.org/10.1016/j.ciresp.2023.04.002

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