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Percutaneous Arterial Embolization in the Management of Rectus Sheath Hematoma

Jordi Rimola1,2, Joan Perendreu1, Joan Falcó1, José R. Fortuño1, Anna Massuet1 and Jordi Branera1

1 Department of Radiology, UDIAT-CD, Corporació Sanitaria Parc Taulí, Sabadell, Barcelona, Spain.
2 Present address: Department of Radiology, Hospital Clinic, C/Villaroel 170, Barcelona, Spain 08036.


Figure 1
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  		Fig. 1A —69-year-old woman with large rectus sheath hematoma associated with anticoagulant therapy. Helical CT scan after administration of contrast material shows hyperdense hematoma enlarging left side of rectus sheath. Extravasation of contrast material (arrow) within collection indicates active bleeding.

 

Figure 2
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  		Fig. 1B —69-year-old woman with large rectus sheath hematoma associated with anticoagulant therapy. Angiogram during selective catheterization of left inferior epigastric artery shows multiple active bleeding foci (arrowheads).

 

Figure 3
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  		Fig. 1C —69-year-old woman with large rectus sheath hematoma associated with anticoagulant therapy. Angiogram after embolization shows proximal embolization of inferior epigastric artery (arrowhead) with complete exclusion of bleeding segment without further contrast extravasation.

 

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