Transcatheter Arterial Embolization for Spontaneous Rupture of the Omental Artery

被引：21

作者：

Matsumoto, Tomohiro ^{[1
]}

Yamagami, Takuji ^{[2
]}

Morishita, Hiroyuki ^{[1
]}

Iida, Shigeharu ^{[1
]}

Tazoe, Jun ^{[1
,2
]}

Asai, Shunsuke ^{[1
]}

Masui, Koji ^{[1
]}

Ikeda, Jun ^{[3
,4
]}

Nagata, Akihiro ^{[5
]}

Sato, Osamu ^{[1
]}

Nishimura, Tsunehiko ^{[2
]}

机构：

[1] Kyoto First Red Cross Hosp, Dept Radiol, Higashiyama Ku, Kyoto 6050981, Japan

[2] Kyoto Prefectural Univ Med, Dept Radiol, Grad Sch Med Sci, Kamigyo Ku, Kawaramachi Hirokoji 6028566, Japan

[3] Kyoto First Red Cross Hosp, Dept Surg, Higashiyama Ku, Kyoto 6050981, Japan

[4] Kyoto First Red Cross Hosp, Dept Emergency, Higashiyama Ku, Kyoto 6050981, Japan

[5] Kyoto First Red Cross Hosp, Dept Pathol, Higashiyama Ku, Kyoto 6050981, Japan

来源：

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 2011年 / 34卷

关键词：

Embolization; Interventional radiology; Omental artery; Spontaneous rupture; ABDOMINAL APOPLEXY; ANEURYSMS;

D O I：

10.1007/s00270-010-9956-1

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：S142 / S145

页数：4

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