Iatrogenic pseudoaneurysm of inferior epigastric artery: not only a surgical complication
A 77-year-old lady with a longstanding scleroderma, presented to the Emergency Department for a state of severe malnutrition and fluid dysphagia. On physical examination, she presented an abdominal palpable swelling, with an associated large, posterior ecchymosis. A pseudoaneurysm of the right infe...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2022-07-01
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| Series: | Bleeding, Thrombosis and Vascular Biology |
| Subjects: | |
| Online Access: | https://btvb.org/btvb/article/view/25 |
| _version_ | 1797835159942201344 |
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| author | Rossana Corso Andrea Coppola Stefano Grazioli Cristina Dedionigi Nicolò Tandurella Massimo Venturini Francesco Dentali |
| author_facet | Rossana Corso Andrea Coppola Stefano Grazioli Cristina Dedionigi Nicolò Tandurella Massimo Venturini Francesco Dentali |
| author_sort | Rossana Corso |
| collection | DOAJ |
| description |
A 77-year-old lady with a longstanding scleroderma, presented to the Emergency Department for a state of severe malnutrition and fluid dysphagia. On physical examination, she presented an abdominal palpable swelling, with an associated large, posterior ecchymosis. A pseudoaneurysm of the right inferior epigastric artery was diagnosed on a color Doppler ultrasound examination. After collegial discussion with the surgical and interventional-radiologist team, a percutaneous exclusion of the pseudoaneurysm through thrombin injection was successfully performed, and no complications were reported. After a thorough anamnestic record, the possible cause of the pseudoaneurysm was discovered: a few days before hospital admission the general practitioner did some intradermoclysis in the abdominal wall to hydrate the patient, damaging the inferior epigastric artery wall with subsequent development of the pseudoaneurysm. The patient completely recovered, returned home after two weeks in a subacute facility, and is awaiting evaluation for the scleroderma follow up from a rheumatologist.
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| first_indexed | 2024-04-09T14:48:45Z |
| format | Article |
| id | doaj.art-5d35798ec1434c7c86f81b7ad81ae2a4 |
| institution | Directory Open Access Journal |
| issn | 2785-5309 |
| language | English |
| last_indexed | 2024-04-09T14:48:45Z |
| publishDate | 2022-07-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Bleeding, Thrombosis and Vascular Biology |
| spelling | doaj.art-5d35798ec1434c7c86f81b7ad81ae2a42023-05-02T10:09:34ZengPAGEPress PublicationsBleeding, Thrombosis and Vascular Biology2785-53092022-07-011210.4081/btvb.2022.25Iatrogenic pseudoaneurysm of inferior epigastric artery: not only a surgical complicationRossana Corso0Andrea Coppola1Stefano Grazioli2Cristina Dedionigi3Nicolò Tandurella4Massimo Venturini5Francesco Dentali6Department of Internal Medicine, Circolo Hospital, ASST Sette Laghi, VareseDiagnostic and Interventional Radiology Department, Circolo Hospital, ASST Sette Laghi, VareseDepartment of Internal Medicine, Circolo Hospital, ASST Sette Laghi, VareseDepartment of Internal Medicine, Circolo Hospital, ASST Sette Laghi, VareseDepartment of Internal Medicine, Circolo Hospital, ASST Sette Laghi, VareseDiagnostic and Interventional Radiology Department, Circolo Hospital, ASST Sette Laghi, Varese; Department of Medicine and Surgery, University of Insubria, VareseDepartment of Internal Medicine, Circolo Hospital, ASST Sette Laghi, Varese; Department of Medicine and Surgery, University of Insubria, Varese A 77-year-old lady with a longstanding scleroderma, presented to the Emergency Department for a state of severe malnutrition and fluid dysphagia. On physical examination, she presented an abdominal palpable swelling, with an associated large, posterior ecchymosis. A pseudoaneurysm of the right inferior epigastric artery was diagnosed on a color Doppler ultrasound examination. After collegial discussion with the surgical and interventional-radiologist team, a percutaneous exclusion of the pseudoaneurysm through thrombin injection was successfully performed, and no complications were reported. After a thorough anamnestic record, the possible cause of the pseudoaneurysm was discovered: a few days before hospital admission the general practitioner did some intradermoclysis in the abdominal wall to hydrate the patient, damaging the inferior epigastric artery wall with subsequent development of the pseudoaneurysm. The patient completely recovered, returned home after two weeks in a subacute facility, and is awaiting evaluation for the scleroderma follow up from a rheumatologist. https://btvb.org/btvb/article/view/25Pseudoaneurysm of inferior epigastric arteryUltrasoundSuperb microvascular imagingCollegial discussionAnamnestic record |
| spellingShingle | Rossana Corso Andrea Coppola Stefano Grazioli Cristina Dedionigi Nicolò Tandurella Massimo Venturini Francesco Dentali Iatrogenic pseudoaneurysm of inferior epigastric artery: not only a surgical complication Bleeding, Thrombosis and Vascular Biology Pseudoaneurysm of inferior epigastric artery Ultrasound Superb microvascular imaging Collegial discussion Anamnestic record |
| title | Iatrogenic pseudoaneurysm of inferior epigastric artery: not only a surgical complication |
| title_full | Iatrogenic pseudoaneurysm of inferior epigastric artery: not only a surgical complication |
| title_fullStr | Iatrogenic pseudoaneurysm of inferior epigastric artery: not only a surgical complication |
| title_full_unstemmed | Iatrogenic pseudoaneurysm of inferior epigastric artery: not only a surgical complication |
| title_short | Iatrogenic pseudoaneurysm of inferior epigastric artery: not only a surgical complication |
| title_sort | iatrogenic pseudoaneurysm of inferior epigastric artery not only a surgical complication |
| topic | Pseudoaneurysm of inferior epigastric artery Ultrasound Superb microvascular imaging Collegial discussion Anamnestic record |
| url | https://btvb.org/btvb/article/view/25 |
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