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Inferior epigastric artery false aneurysms: review of the literature and case report.

TitleInferior epigastric artery false aneurysms: review of the literature and case report.
Publication TypeJournal Article
Year of Publication2007
AuthorsGeorgiadis, G. S., Souftas V. D., Papas T. T., Lazarides M. K., & Prassopoulos P.
JournalEur J Vasc Endovasc Surg
Volume33
Issue2
Pagination182-6
Date Published2007 Feb
ISSN1078-5884
KeywordsAbdominal Injuries, Aneurysm, False, Angiography, Embolization, Therapeutic, Epigastric Arteries, Humans, Male, Middle Aged, Tomography, X-Ray Computed, Wounds, Nonpenetrating
Abstract

A case report is presented of a IEA false aneurysm successfully embolized in a 50-year old man following a blunt abdominal injury. A literature review revealed another 15 cases. Most cases were iatrogenic (13/16) complicating abdominal wall procedures. Treatment options included open surgery (8 cases), percutaneous coil embolization (6), ultrasound guided thrombin injection or ultrasound guided compression (2). The selected treatment (surgical or non-surgical) was not affected by the size of the aneurysm (p=0.6) and was successful in all patients. However two of the non-surgically removed lesions (25%) remained unchanged in size for a long time causing discomfort. IEA false aneurysms represent an uncommon entity. Open surgery for IEA false aneurysms is easy and cheap. Endovascular approaches can lead to a long delay in resolution of the problem.

DOI10.1016/j.ejvs.2006.08.006
Alternate JournalEur J Vasc Endovasc Surg
PubMed ID17055755

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