Spontaneous internal oblique hematoma successfully treated by transcatheter arterial embolization

Radiat Med. 2008 Aug;26(7):446-9. doi: 10.1007/s11604-008-0254-7. Epub 2008 Sep 4.

Abstract

Abdominal wall hematoma is an uncommon cause of acute abdominal pain. We report a case of internal oblique hematoma caused by rupture of the subcostal artery in a 57-year-old woman. Ultrasonography (US) showed a hypoechoic mass in the right lateral abdominal wall. Contrast-enhanced computed tomography (CT) showed a large soft tissue mass with extravasation of contrast medium located in the right internal oblique muscle. Angiography showed contrast extravasation from the subcostal artery, and transcatheter arterial embolization was performed successfully.

Publication types

  • Case Reports

MeSH terms

  • Abdomen, Acute / etiology
  • Abdominal Wall / diagnostic imaging
  • Contrast Media
  • Embolization, Therapeutic / methods*
  • Extravasation of Diagnostic and Therapeutic Materials / diagnosis
  • Extravasation of Diagnostic and Therapeutic Materials / etiology
  • Female
  • Follow-Up Studies
  • Hematoma / diagnosis*
  • Hematoma / etiology
  • Hematoma / therapy*
  • Humans
  • Middle Aged
  • Muscle, Skeletal / blood supply*
  • Muscle, Skeletal / diagnostic imaging
  • Radiographic Image Enhancement / methods
  • Radiography, Abdominal / methods
  • Rupture, Spontaneous / complications
  • Rupture, Spontaneous / diagnosis
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome
  • Ultrasonography

Substances

  • Contrast Media