Trans Arterial Embolization of Spontaneous Abdominal Muscle Bleeding
Spontaneous abdominal muscle bleeding is an uncommon condition that usually arises in elderly and fragile patients. Commonly affected areas include body wall muscles, particularly the rectus sheath and the iliopsoas, with clinical manifestations such as abdominal pain, groin pain, anemia, and in se...
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| Format: | Article |
| Language: | English |
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Örebro University
2025-01-01
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| Series: | Journal of Endovascular Resuscitation and Trauma Management |
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| Online Access: | https://publicera.kb.se/jevtm/article/view/33472 |
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| author | Pierpaolo Biondetti gaetano valerio davide amato Carolina Lanza Serena Carriero Velio Ascenti Chiara Grilli Edon Xhepa Salvatore Alessio Angileri Anna Maria Ierardi Gianpaolo Carrafiello |
| author_facet | Pierpaolo Biondetti gaetano valerio davide amato Carolina Lanza Serena Carriero Velio Ascenti Chiara Grilli Edon Xhepa Salvatore Alessio Angileri Anna Maria Ierardi Gianpaolo Carrafiello |
| author_sort | Pierpaolo Biondetti |
| collection | DOAJ |
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Spontaneous abdominal muscle bleeding is an uncommon condition that usually arises in elderly and fragile patients. Commonly affected areas include body wall muscles, particularly the rectus sheath and the iliopsoas, with clinical manifestations such as abdominal pain, groin pain, anemia, and in severe cases, hemorrhagic shock. A computed tomography multiphase scan is the preferred modality of examination, as it allows the characterization of hematomas and the assessment of active bleeding. Conservative management of coagulopathy is standard care for stable patients while embolization and surgical options are reserved for those with hemodynamic instability or significant bleeding. Current literature provides incongruous results on outcomes, while some authors consider embolization only after conservative treatment failure, other authors advocate for a more aggressive approach in patients who are at high risk of developing a poor outcome. This discrepancy underlines the need for further standardized research to optimize management approaches in this fragile patient population.
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| format | Article |
| id | doaj-art-eec703e72c21452ba987448a30739121 |
| institution | Kabale University |
| issn | 2002-7567 2003-539X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Örebro University |
| record_format | Article |
| series | Journal of Endovascular Resuscitation and Trauma Management |
| spelling | doaj-art-eec703e72c21452ba987448a307391212025-02-02T01:42:14ZengÖrebro UniversityJournal of Endovascular Resuscitation and Trauma Management2002-75672003-539X2025-01-0110.26676/jevtm.33472Trans Arterial Embolization of Spontaneous Abdominal Muscle BleedingPierpaolo Biondetti0gaetano valerio davide amato1https://orcid.org/0009-0000-2579-2022Carolina Lanza2Serena Carriero3Velio Ascenti4Chiara Grilli5Edon Xhepa6Salvatore Alessio Angileri7Anna Maria Ierardi8Gianpaolo Carrafiello9Radiology Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyPostgraduate School of Radiology, University of Milan, Milan, ItalyRadiology Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyRadiology Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyPostgraduate School of Radiology, University of Milan, Milan, ItalyPostgraduate School of Radiology, University of Milan, Milan, ItalyPostgraduate School of Radiology, University of Milan, Milan, ItalyRadiology Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItaRadiology Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyRadiology Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy and Università degli Studi di Milano, Milan, Italy Spontaneous abdominal muscle bleeding is an uncommon condition that usually arises in elderly and fragile patients. Commonly affected areas include body wall muscles, particularly the rectus sheath and the iliopsoas, with clinical manifestations such as abdominal pain, groin pain, anemia, and in severe cases, hemorrhagic shock. A computed tomography multiphase scan is the preferred modality of examination, as it allows the characterization of hematomas and the assessment of active bleeding. Conservative management of coagulopathy is standard care for stable patients while embolization and surgical options are reserved for those with hemodynamic instability or significant bleeding. Current literature provides incongruous results on outcomes, while some authors consider embolization only after conservative treatment failure, other authors advocate for a more aggressive approach in patients who are at high risk of developing a poor outcome. This discrepancy underlines the need for further standardized research to optimize management approaches in this fragile patient population. https://publicera.kb.se/jevtm/article/view/33472Spontaneous Abdominal BleedingIntramuscular HematomaHemorrhage ControlTrans Arterial EmbolizationInterventional Radiology |
| spellingShingle | Pierpaolo Biondetti gaetano valerio davide amato Carolina Lanza Serena Carriero Velio Ascenti Chiara Grilli Edon Xhepa Salvatore Alessio Angileri Anna Maria Ierardi Gianpaolo Carrafiello Trans Arterial Embolization of Spontaneous Abdominal Muscle Bleeding Journal of Endovascular Resuscitation and Trauma Management Spontaneous Abdominal Bleeding Intramuscular Hematoma Hemorrhage Control Trans Arterial Embolization Interventional Radiology |
| title | Trans Arterial Embolization of Spontaneous Abdominal Muscle Bleeding |
| title_full | Trans Arterial Embolization of Spontaneous Abdominal Muscle Bleeding |
| title_fullStr | Trans Arterial Embolization of Spontaneous Abdominal Muscle Bleeding |
| title_full_unstemmed | Trans Arterial Embolization of Spontaneous Abdominal Muscle Bleeding |
| title_short | Trans Arterial Embolization of Spontaneous Abdominal Muscle Bleeding |
| title_sort | trans arterial embolization of spontaneous abdominal muscle bleeding |
| topic | Spontaneous Abdominal Bleeding Intramuscular Hematoma Hemorrhage Control Trans Arterial Embolization Interventional Radiology |
| url | https://publicera.kb.se/jevtm/article/view/33472 |
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