Ultrasound-Guided Thrombin Injection for Iliopsoas Pseudoaneurysm

被引：1

作者：

Weissmann, Jonathan ^{[1
]}

Griton, Yigal ^{[2
]}

Mahajna, Shadi ^{[1
]}

Ajaj, Moanis ^{[1
]}

Fajer, Simone ^{[1
]}

机构：

[1] Meir Med Ctr, Vasc Surg Unit, Kefar Sava, Israel

[2] Meir Med Ctr, Intervent Radiol Unit, Kefar Sava, Israel

来源：

JOURNAL OF PEDIATRIC INTENSIVE CARE | 2019年 / 8卷 / 03期

关键词：

pseudoaneurysm; iliopsoas hematoma; thrombin; factor XI deficiency; adolescent; HEMATOMA; COMPLICATION; DIAGNOSIS;

D O I：

10.1055/s-0039-1683385

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Bilateral iliopsoas hematoma is an uncommon phenomenon, which has been described in individuals receiving anticoagulation therapy. The hematoma is caused by bleeding of arteries to the muscle. In rare cases, pseudoaneurysms can also be formed. We present a case of an adolescent, with partial factor XI deficiency, who experienced a mild fall. Imaging studies revealed large bilateral iliopsoas hematomas and bilateral iliopsoas pseudoaneurysms. One pseudoaneurysm was demonstrated by angiography and was embolized with micro coils. The second, more persistent one, was sealed via ultrasound-guided thrombin injection, with excellent morphological and clinical results.

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收藏

页码：187 / 190

页数：4

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