| Home | E-Submission | Sitemap | Contact Us
top_img
J Korean Soc Emerg Med > Volume 28(4); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(4): 391-394.
A Case of Rectus Sheath Hematoma with Spontaneous Inferior Epigastric Artery Injury Treated Successfully by Angioembolization
Dong Eun Lee, Jae Yun Ahn, Sungbae Moon
Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea
Correspondence  Jae Yun Ahn ,Tel: 053-200-6400, Fax: 053-428-2820, Email: jyahn@knu.ac.kr,
Received: June 1, 2017; Revised: June 5, 2017   Accepted: June 30, 2017.  Published online: August 31, 2017.
ABSTRACT
Rectus sheath hematoma with spontaneous inferior epigastric artery injury (IEAI) is rarely found and can often be mistaken for something else causing abdominal pain. We present the case of rectus sheath hematoma with spontaneous IEAI caused by coughing in a 61-year-old woman. She presented to our emergency department with a chief complaint of rightlower quadrant pain after severe coughing. An abdominal computed tomography scan with contrast enhancement demonstrated rectus sheath hematoma with active hemorrhage; angiography with selective embolization of the right inferior epigastric artery was performed successfully without complication. Even if a patient with nontraumatic abdominal pain had no anticoagulant therapy or coagulopathy, an abdominal contrast-enhanced computed tomography scan is essential for early diagnosis of spontaneous IEAI. Arteriography with selective embolization of the injured arteries is useful and highly effective in the control of ongoing hemorrhage owing to IEAI.
Key words: Abdominal pain, Angiography, Epigastric arteries, Embolization, therapeutic, Rupture, Spontaneous
TOOLS
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
CrossRef TDM  CrossRef TDM
  E-Mail
  Print
Share:      
METRICS
170
View
15
Download
Related article
Editorial Office
The Korean Society of Emergency Medicine
101-3104, Brownstone Seoul, 464 Cheongpa-ro, Jung-gu, Seoul 06351, Korea
TEL: +82-51-240-7503   FAX: +82-51-253-6472   E-mail: pnuhem@daum.net
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © The Korean Society of Emergency Medicine. All rights reserved.