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Inferior epigastric artery pseudoaneurysms.
Edwards, K J; Avula, S K; Babu, B D H; England, R A.
Afiliação
  • Avula SK; North Cumbria University Hospitals NHS Trust , UK.
  • Babu BD; North Cumbria University Hospitals NHS Trust , UK.
  • England RA; North Cumbria University Hospitals NHS Trust , UK.
Ann R Coll Surg Engl ; 97(4): 255-8, 2015 May.
Article em En | MEDLINE | ID: mdl-26263930
INTRODUCTION: Inferior epigastric artery (IEA) pseudoaneurysms are recognised complications of abdominal wall procedures, and a variety of approaches including surgical excision and ligation, percutaneous procedures and conservative management have been employed in treating this rare complication. METHODS: We describe a case of an IEA pseudoaneurysm diagnosed on computed tomography (CT) angiography, 14 days following a laparoscopic assisted low anterior resection, which was managed successfully with surgical excision and ligation. A review of the literature identified 32 reports of this complication since 1973 with 69% of cases occurring since 2000. FINDINGS: The main aetiology of IEA pseudoaneurysm was abdominal surgery (n=20); 65% of cases were attributable to abdominal wound closure or laparoscopic surgery. Two-thirds (66%) of patients presented between 11 and 63 days, and all except 1 case presented with discomfort, abdominal mass or haemodynamic instability. Colour Doppler ultrasonography was the imaging modality of choice (n=18), either alone or in combination with computed tomography and/or angiography. Surgical ligation and excision and percutaneous coil embolisation formed the mainstay of attempted treatments (69%), particularly following treatment failure using an alternative technique. CONCLUSIONS: The incidence of iatrogenic IEA pseudoaneurysms appears to be increasing. Awareness of this rare complication is of clinical importance to avoid excessive morbidity for affected individuals.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Falso Aneurisma / Laparoscopia / Artérias Epigástricas Idioma: En Ano de publicação: 2015 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Falso Aneurisma / Laparoscopia / Artérias Epigástricas Idioma: En Ano de publicação: 2015 Tipo de documento: Article