Spontaneous Rupture of the Omental Artery Treated by Transcatheter Arterial Embolization
Intra-abdominal hemorrhage caused by omental artery rupture is a rare condition. There are few reports on the treatment of omental artery rupture with only transcatheter arterial embolization (TAE). A 27-year-old man presented to our emergency room with upper abdominal pain that suddenly occurred du...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Radiology |
| Online Access: | http://dx.doi.org/10.1155/2012/273027 |
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| author | Masamichi Takahashi Yujiro Matsuoka Tsuyoshi Yasutake Hiroyuki Abe Kazuhiro Sugiyama Kazuyuki Oyama |
| author_facet | Masamichi Takahashi Yujiro Matsuoka Tsuyoshi Yasutake Hiroyuki Abe Kazuhiro Sugiyama Kazuyuki Oyama |
| author_sort | Masamichi Takahashi |
| collection | DOAJ |
| description | Intra-abdominal hemorrhage caused by omental artery rupture is a rare condition. There are few reports on the treatment of omental artery rupture with only transcatheter arterial embolization (TAE). A 27-year-old man presented to our emergency room with upper abdominal pain that suddenly occurred during sleep. Abdominal computed tomography (CT) revealed fluid collection in the peritoneal cavity and a left subphrenic hematoma with extravasation. Celiac angiography revealed extravasation from the omental artery, which arose from the proximal left gastroepiploic artery. A microcatheter was advanced into the left gastroepiploic artery and around the culprit artery bifurcation, which was embolized by inserting coils. The postoperative course was uneventful without worsening of anemia or abdominal symptoms. The patient was discharged after the absence of extravasation was confirmed by contrast-enhanced CT. Although surgical therapy has often been performed for omental bleeding, TAE, which is less invasive and has the advantage of simultaneous diagnosis and treatment, should be attempted as the first-choice therapy. |
| format | Article |
| id | doaj-art-a1bdfbc1f63744baa9c3da92d93dc885 |
| institution | Kabale University |
| issn | 2090-6862 2090-6870 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Radiology |
| spelling | doaj-art-a1bdfbc1f63744baa9c3da92d93dc8852025-02-03T05:47:48ZengWileyCase Reports in Radiology2090-68622090-68702012-01-01201210.1155/2012/273027273027Spontaneous Rupture of the Omental Artery Treated by Transcatheter Arterial EmbolizationMasamichi Takahashi0Yujiro Matsuoka1Tsuyoshi Yasutake2Hiroyuki Abe3Kazuhiro Sugiyama4Kazuyuki Oyama5Department of Radiology, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Kotobashi, Sumida, Tokyo 130-8575, JapanDepartment of Radiology, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Kotobashi, Sumida, Tokyo 130-8575, JapanDepartment of Radiology, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Kotobashi, Sumida, Tokyo 130-8575, JapanDepartment of Emergency and Critical Care Medicine, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Kotobashi, Sumida, Tokyo 130-8575, JapanDepartment of Emergency and Critical Care Medicine, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Kotobashi, Sumida, Tokyo 130-8575, JapanDepartment of Radiology, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Kotobashi, Sumida, Tokyo 130-8575, JapanIntra-abdominal hemorrhage caused by omental artery rupture is a rare condition. There are few reports on the treatment of omental artery rupture with only transcatheter arterial embolization (TAE). A 27-year-old man presented to our emergency room with upper abdominal pain that suddenly occurred during sleep. Abdominal computed tomography (CT) revealed fluid collection in the peritoneal cavity and a left subphrenic hematoma with extravasation. Celiac angiography revealed extravasation from the omental artery, which arose from the proximal left gastroepiploic artery. A microcatheter was advanced into the left gastroepiploic artery and around the culprit artery bifurcation, which was embolized by inserting coils. The postoperative course was uneventful without worsening of anemia or abdominal symptoms. The patient was discharged after the absence of extravasation was confirmed by contrast-enhanced CT. Although surgical therapy has often been performed for omental bleeding, TAE, which is less invasive and has the advantage of simultaneous diagnosis and treatment, should be attempted as the first-choice therapy.http://dx.doi.org/10.1155/2012/273027 |
| spellingShingle | Masamichi Takahashi Yujiro Matsuoka Tsuyoshi Yasutake Hiroyuki Abe Kazuhiro Sugiyama Kazuyuki Oyama Spontaneous Rupture of the Omental Artery Treated by Transcatheter Arterial Embolization Case Reports in Radiology |
| title | Spontaneous Rupture of the Omental Artery Treated by Transcatheter Arterial Embolization |
| title_full | Spontaneous Rupture of the Omental Artery Treated by Transcatheter Arterial Embolization |
| title_fullStr | Spontaneous Rupture of the Omental Artery Treated by Transcatheter Arterial Embolization |
| title_full_unstemmed | Spontaneous Rupture of the Omental Artery Treated by Transcatheter Arterial Embolization |
| title_short | Spontaneous Rupture of the Omental Artery Treated by Transcatheter Arterial Embolization |
| title_sort | spontaneous rupture of the omental artery treated by transcatheter arterial embolization |
| url | http://dx.doi.org/10.1155/2012/273027 |
| work_keys_str_mv | AT masamichitakahashi spontaneousruptureoftheomentalarterytreatedbytranscatheterarterialembolization AT yujiromatsuoka spontaneousruptureoftheomentalarterytreatedbytranscatheterarterialembolization AT tsuyoshiyasutake spontaneousruptureoftheomentalarterytreatedbytranscatheterarterialembolization AT hiroyukiabe spontaneousruptureoftheomentalarterytreatedbytranscatheterarterialembolization AT kazuhirosugiyama spontaneousruptureoftheomentalarterytreatedbytranscatheterarterialembolization AT kazuyukioyama spontaneousruptureoftheomentalarterytreatedbytranscatheterarterialembolization |