| A pseudoaneurysm of the inferior epigastric artery complicating tenckhoff catheter removal |
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Yang Hyun Cho, Yong Hun Kim, Min Kyoung Kang, Jun Gu Chung, So Young Lee, Dong Ho Yang, Hyung-Jong Kim |
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| 복막투석 도관제거 후 발생한 아래 배벽동맥의 가성동맥류 1예 |
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조양현, 김용훈, 강민경, 정준구, 이소영, 양동호, 김형종 |
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| Abstract |
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A pseudoaneurysm is a rare complication of surgery, trauma, or arterial puncture. Postoperative complications following peritoneal dialysis catheter removal are reported infrequently. We treated a patient who developed a pseudoaneurysm of the inferior epigastric artery after removal of a Tenckhoff catheter. The initial plain radiographs of the chest and abdomen were normal, whereas computed tomography (CT) revealed a massive hematoma with active bleeding in the left rectus abdominis muscle. Angiography showed rupture of the inferior epigastric artery with extravasation of the blood. Consequently, coil and glue embolization was performed. Subsequently, no bleeding was seen from the inferior epigastric artery. Follow-up CT showed that the intramuscular hematoma in the left rectus abdominis muscle had decreased in size. We emphasize the value of percutaneous angiography and coil embolization in the treatment of this complication. |
| Key Words:
Inferior epigastric artery; Pseudoaneurysm; Tenckhoff catheter removal |
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