| Efficacy of Embolotherapy in Patients with Abdominal Wall Hemorrhage |
| 복벽 출혈에서 색전술의 유용성 |
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이동길; 최진수 |
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| Abstract |
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Abdominal wall hemorrhage is rare. It can occur spontaneously or as results of
surgical trauma; paracentesis; catheter removal; and drainage procedure. Although most patients
can be treated with supportive care; abdominal wall hemorrhage often requires embolization of the
bleeding vessel or surgery for cases that do not respond to conservative treatment. Herein; we
retrospectively analyzed all consecutive patients who underwent embolotherapy for treatment of
abdominal wall hemorrhage between May 2004 and July 2009. Thirteen women and two men were
included and mean age was 53 years (range; 30-77 years). The injured vessels were treated
with transcatheter embolization in thirteen and with percutaneous thrombin injection in two. The
causes of abdominal wall hemorrhage were surgical trauma; paracentesis; percutaneous
catheterization; and spontaneous hemorrhage; in 7; 4; 3; and 1 patient; respectively. The
hemorrhage was manifested as contrast leakage and pseudoaneurysm in 12 and 3 patients;
respectively. The technical and clinical success rates of the embolotherapy were 100% and 93%;
respectively. In conclusion; the embolotherapy for the treatment of abdominal wall hemorrhage is
highly effective and safe. |
| Key Words:
Abdominal wall, Arteries, Embolization, Hemorrhage |
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