Journal List > Korean J Gastroenterol > v.59(2) > 1006916

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Kang, Kim, Hong, Kwon, Seo, Kim, Lee, and Cheon: A Case of Lateral Abdominal Wall Hematoma Treated with Transcatheter Arterial Embolization
Case Report
The Korean Journal of Gastroenterology

The Korean Journal of Gastroenterology 2012; 59(2): 185-188.

Published online: 23 February 2012

DOI: https://doi.org/10.4166/kjg.2012.59.2.185

A Case of Lateral Abdominal Wall Hematoma Treated with Transcatheter Arterial Embolization

Jong Won Kang, Young Don Kim, Jong Sam Hong, Jang Hoon Kwon, Hyun Woong Seo, Sung Hoon Kim, Jong Hyuk Lee1, Gab Jin Cheon

Department of Internal Medicine, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, Korea.

1Department of Radiology, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, Korea.

Correspondence to: Gab Jin Cheon, Department of Internal Medicine, University of Ulsan College of Medicine, Gangneung Asan Hospital, 415 Bangdong-ri, Sacheon-myeon, Gangneung 210-711, Korea. Tel: +82-33-610-3139, Fax: +82-33-610-8130, gi@gnah.co.kr

Copyright © 2012 The Korean Society of Gastroenterology

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Paracentesis is a diagnostic, therapeutic procedure performed in patients with ascites. It is generally thought to be a safe procedure and transfusion of platelet concentrate or fresh frozen plasma is not recommended before the procedure, because the incidence of clinically significant bleeding is very low. We report a case of lateral abdominal wall hematoma due to the injury of the deep circumflex iliac artery after paracentesis in patient with alcoholic liver cirrhosis who was treated with transcatheter arterial embolization.

Keywords: Hematoma, Paracentesis, Therapeutic embolization, Liver cirrhosis

Figures and Tables

Fig. 1
Abdominal CT. (A) Abdomen dynamic CT showed moderate amount of ascites, and small amount of hematoma in the left lower abdominal wall without evidence of focal lesion in the liver. (B) Follow-up abdomen dynamic CT showed a huge hematoma, which was more than 20 cm in size, on the lateral abdominal wall.
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Fig. 2
Gross photograph. (A) Hematoma was noted on the paracentesis site. (B) Hematoma was expanding downwards to the thigh from the initial paracentesis site.
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Fig. 3
Angiography. (A) Angiogram revealed leakage of contrast medium through the left deep circumflex iliac artery (arrow). (B) Transarterial embolization was done using gelfoam and coil (arrow).
kjg-59-185-g003

Notes

Financial support: None.

Conflict of interest: None.

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