Inferior epigastric pseudoaneurysm and rectus sheath hematoma treated with percutaneous direct sac puncture and embolization with NBCA
Year: 2025
Type: article
Study design: Case Report
Abstract: Rectus sheath hematomas are most commonly observed in elderly patients on anticoagulation and may require embolization when there is accompanying hemodynamic instability or vascular injury. We present a case of an inferior epigastric pseudoaneurysm and rectus sheath hematoma treated by percutaneous direct sac puncture with N‑butyl cyanoacrylate (NBCA) glue due to complex vascular anatomy and body habitus which limited an intra-arterial approach. While superficial pseudoaneurysms are often managed with thrombin, liquid embolics may offer improved penetration into the afferent and efferent supply of the pseudoaneurysm, thereby limiting re-bleeding risk.
Source: Radiology Case Reports
Authors: Jacob Schick, David Gage, Christopher Bailey
Institutions: Johns Hopkins University, Johns Hopkins Medicine
Language: English
Topic: Case Reports on Hematomas
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $600
OpenAlex ID: W4408729032