Inferior epigastric pseudoaneurysm and rectus sheath hematoma treated with percutaneous direct sac puncture and embolization with NBCA
Rectus sheath hematomas are most commonly observed in elderly patients on anticoagulation and may require embolization when there is accompanying hemodynamic instability or vascular injury. We present a case of an inferior epigastric pseudoaneurysm and rectus sheath hematoma treated by percutaneous...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-06-01
|
| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325001736 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849730009953992704 |
|---|---|
| author | Jacob Schick, MD David Gage, MD Christopher Bailey, MD |
| author_facet | Jacob Schick, MD David Gage, MD Christopher Bailey, MD |
| author_sort | Jacob Schick, MD |
| collection | DOAJ |
| description | Rectus sheath hematomas are most commonly observed in elderly patients on anticoagulation and may require embolization when there is accompanying hemodynamic instability or vascular injury. We present a case of an inferior epigastric pseudoaneurysm and rectus sheath hematoma treated by percutaneous direct sac puncture with N‑butyl cyanoacrylate (NBCA) glue due to complex vascular anatomy and body habitus which limited an intra-arterial approach. While superficial pseudoaneurysms are often managed with thrombin, liquid embolics may offer improved penetration into the afferent and efferent supply of the pseudoaneurysm, thereby limiting re-bleeding risk. |
| format | Article |
| id | doaj-art-fcf9728948464feca83da7dae298ac3a |
| institution | DOAJ |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-fcf9728948464feca83da7dae298ac3a2025-08-20T03:09:00ZengElsevierRadiology Case Reports1930-04332025-06-012062937293910.1016/j.radcr.2025.02.073Inferior epigastric pseudoaneurysm and rectus sheath hematoma treated with percutaneous direct sac puncture and embolization with NBCAJacob Schick, MD0David Gage, MD1Christopher Bailey, MD2Corresponding author.; The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, MDThe Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, MDThe Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, MDRectus sheath hematomas are most commonly observed in elderly patients on anticoagulation and may require embolization when there is accompanying hemodynamic instability or vascular injury. We present a case of an inferior epigastric pseudoaneurysm and rectus sheath hematoma treated by percutaneous direct sac puncture with N‑butyl cyanoacrylate (NBCA) glue due to complex vascular anatomy and body habitus which limited an intra-arterial approach. While superficial pseudoaneurysms are often managed with thrombin, liquid embolics may offer improved penetration into the afferent and efferent supply of the pseudoaneurysm, thereby limiting re-bleeding risk.http://www.sciencedirect.com/science/article/pii/S1930043325001736EmbolizationPseudoaneurysmRectus sheath hematomaNBCA |
| spellingShingle | Jacob Schick, MD David Gage, MD Christopher Bailey, MD Inferior epigastric pseudoaneurysm and rectus sheath hematoma treated with percutaneous direct sac puncture and embolization with NBCA Radiology Case Reports Embolization Pseudoaneurysm Rectus sheath hematoma NBCA |
| title | Inferior epigastric pseudoaneurysm and rectus sheath hematoma treated with percutaneous direct sac puncture and embolization with NBCA |
| title_full | Inferior epigastric pseudoaneurysm and rectus sheath hematoma treated with percutaneous direct sac puncture and embolization with NBCA |
| title_fullStr | Inferior epigastric pseudoaneurysm and rectus sheath hematoma treated with percutaneous direct sac puncture and embolization with NBCA |
| title_full_unstemmed | Inferior epigastric pseudoaneurysm and rectus sheath hematoma treated with percutaneous direct sac puncture and embolization with NBCA |
| title_short | Inferior epigastric pseudoaneurysm and rectus sheath hematoma treated with percutaneous direct sac puncture and embolization with NBCA |
| title_sort | inferior epigastric pseudoaneurysm and rectus sheath hematoma treated with percutaneous direct sac puncture and embolization with nbca |
| topic | Embolization Pseudoaneurysm Rectus sheath hematoma NBCA |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325001736 |
| work_keys_str_mv | AT jacobschickmd inferiorepigastricpseudoaneurysmandrectussheathhematomatreatedwithpercutaneousdirectsacpunctureandembolizationwithnbca AT davidgagemd inferiorepigastricpseudoaneurysmandrectussheathhematomatreatedwithpercutaneousdirectsacpunctureandembolizationwithnbca AT christopherbaileymd inferiorepigastricpseudoaneurysmandrectussheathhematomatreatedwithpercutaneousdirectsacpunctureandembolizationwithnbca |