Segmental Arterial Mediolysis of Omental Arteries with Haemoperitoneum: Case Report with Embolization of the Left Omental Artery and Brief Review of Literature
Segmental arterial mediolysis of an omental artery is an exceptionally rare condition. A 69-year-old man presented with haemoperitoneum six days after being hospitalized due to pneumogenic sepsis. Computed tomography of the abdomen showed a short segment dilatation of an omental artery in the left u...
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Wiley
2018-01-01
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Series: | Case Reports in Radiology |
Online Access: | http://dx.doi.org/10.1155/2018/4749356 |
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author | Gernot Rott Frieder Boecker |
author_facet | Gernot Rott Frieder Boecker |
author_sort | Gernot Rott |
collection | DOAJ |
description | Segmental arterial mediolysis of an omental artery is an exceptionally rare condition. A 69-year-old man presented with haemoperitoneum six days after being hospitalized due to pneumogenic sepsis. Computed tomography of the abdomen showed a short segment dilatation of an omental artery in the left upper abdomen, compatible with segmental arterial mediolysis. Angiographic examination revealed alterations of omental branches of the right gastroepiploic artery and an aneurysm of the left omental artery, both characteristic of segmental arterial mediolysis. Embolization of the left omental artery with use of N-butyl-2-cyanoacrylate was performed. The postinterventional course was uneventful with increase of haemoglobin levels and without symptoms of omental infarction. Transcatheter embolization in the setting of haemoperitoneum due to segmental arterial mediolysis of an omental branch is technically feasible and a valuable alternative to emergency operation. |
format | Article |
id | doaj-art-13da18d8dc9d49cda7e4464a117d6b44 |
institution | Kabale University |
issn | 2090-6862 2090-6870 |
language | English |
publishDate | 2018-01-01 |
publisher | Wiley |
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series | Case Reports in Radiology |
spelling | doaj-art-13da18d8dc9d49cda7e4464a117d6b442025-02-03T05:45:38ZengWileyCase Reports in Radiology2090-68622090-68702018-01-01201810.1155/2018/47493564749356Segmental Arterial Mediolysis of Omental Arteries with Haemoperitoneum: Case Report with Embolization of the Left Omental Artery and Brief Review of LiteratureGernot Rott0Frieder Boecker1Radiological Department, Bethesda-Hospital Duisburg, Heerstr. 219, 47053 Duisburg, GermanyRadiological Department, Bethesda-Hospital Duisburg, Heerstr. 219, 47053 Duisburg, GermanySegmental arterial mediolysis of an omental artery is an exceptionally rare condition. A 69-year-old man presented with haemoperitoneum six days after being hospitalized due to pneumogenic sepsis. Computed tomography of the abdomen showed a short segment dilatation of an omental artery in the left upper abdomen, compatible with segmental arterial mediolysis. Angiographic examination revealed alterations of omental branches of the right gastroepiploic artery and an aneurysm of the left omental artery, both characteristic of segmental arterial mediolysis. Embolization of the left omental artery with use of N-butyl-2-cyanoacrylate was performed. The postinterventional course was uneventful with increase of haemoglobin levels and without symptoms of omental infarction. Transcatheter embolization in the setting of haemoperitoneum due to segmental arterial mediolysis of an omental branch is technically feasible and a valuable alternative to emergency operation.http://dx.doi.org/10.1155/2018/4749356 |
spellingShingle | Gernot Rott Frieder Boecker Segmental Arterial Mediolysis of Omental Arteries with Haemoperitoneum: Case Report with Embolization of the Left Omental Artery and Brief Review of Literature Case Reports in Radiology |
title | Segmental Arterial Mediolysis of Omental Arteries with Haemoperitoneum: Case Report with Embolization of the Left Omental Artery and Brief Review of Literature |
title_full | Segmental Arterial Mediolysis of Omental Arteries with Haemoperitoneum: Case Report with Embolization of the Left Omental Artery and Brief Review of Literature |
title_fullStr | Segmental Arterial Mediolysis of Omental Arteries with Haemoperitoneum: Case Report with Embolization of the Left Omental Artery and Brief Review of Literature |
title_full_unstemmed | Segmental Arterial Mediolysis of Omental Arteries with Haemoperitoneum: Case Report with Embolization of the Left Omental Artery and Brief Review of Literature |
title_short | Segmental Arterial Mediolysis of Omental Arteries with Haemoperitoneum: Case Report with Embolization of the Left Omental Artery and Brief Review of Literature |
title_sort | segmental arterial mediolysis of omental arteries with haemoperitoneum case report with embolization of the left omental artery and brief review of literature |
url | http://dx.doi.org/10.1155/2018/4749356 |
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