EURORAD ESR

Case 2238

Percutaneous thrombin injection for treatment of a pseudoaneurysm of the inferior epigastric artery

Author(s)
Reus M, Vazquez V, Rodriguez ML, Morales D, Serrano C
 
Patient
male, 60 year(s)
 
 
  • Published 11.09.2003
  • DOI 10.1594/EURORAD/CASE.2238
  • Section Cardiovascular
  • Case Type Clinical Cases
  • Difficulty Senior
  • Views 14178
  • Language(s)
  • Figure 1
    Contrast-enhanced CT

    Contrast-enhanced CT scan of the left iliac fossa shows a 5cm pseudoaneurysm with enhancement of its lumen (arrow) in the left rectus muscle.

     
    Area of Interest: unknown; Imaging Technique: Contrast-enhanced CT;
     
     
  • Figure 2
    US-guided percutaneous thrombin injection
     

    Colour Doppler US scan reveals typical to-and-fro (arrow and arrowhead) blood-flow pattern.

     
    Area of Interest: unknown; Imaging Technique: US-guided percutaneous thrombin injection;

    Using grey-scale sonographic technique, note the echogenic needle tip (arrows) in the lumen of the pseudoaneurysm.

     
    Area of Interest: unknown; Imaging Technique: US-guided percutaneous thrombin injection;

    Colour Doppler US image after injection of 0.3ml (150U) of thrombin shows complete thrombosis of the pseudoaneurysm. The inferior epigastric artery is patent (arrow).

     
    Area of Interest: unknown; Imaging Technique: US-guided percutaneous thrombin injection;
     
     
Contrast-enhanced CT scan of the left iliac fossa shows a 5cm pseudoaneurysm with enhancement of its lumen (arrow) in the left rectus muscle.
 
Colour Doppler US scan reveals typical to-and-fro (arrow and arrowhead) blood-flow pattern.
 
Using grey-scale sonographic technique, note the echogenic needle tip (arrows) in the lumen of the pseudoaneurysm.
 
Colour Doppler US image after injection of 0.3ml (150U) of thrombin shows complete thrombosis of the pseudoaneurysm. The inferior epigastric artery is patent (arrow).
 
 
 
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