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Inferior epigastric artery pseudoaneurysms
K J Edwards, S K Avula1, B D H Babu1
1North Cumbria University Hospitals NHS Trust , UK.
Annals of the Royal College of Surgeons of England
|August 13, 2015
Summary
Inferior epigastric artery (IEA) pseudoaneurysms are rare but increasing complications after abdominal surgery. Surgical excision and ligation offer a successful treatment option for this condition.
Area of Science:
- Vascular Surgery
- Abdominal Surgery
- Interventional Radiology
Background:
- Inferior epigastric artery (IEA) pseudoaneurysms are recognized complications of abdominal wall procedures.
- Treatment options include surgical excision, ligation, percutaneous procedures, and conservative management.
Purpose of the Study:
- To describe a case of IEA pseudoaneurysm managed with surgical excision and ligation.
- To review the literature on IEA pseudoaneurysms.
Main Methods:
- A case of IEA pseudoaneurysm diagnosed via CT angiography after laparoscopic surgery was treated with surgical excision and ligation.
- Literature review identified 32 reported cases since 1973.
Main Results:
- Abdominal surgery, particularly wound closure and laparoscopic procedures, is the main cause of IEA pseudoaneurysms.
- Most patients presented with symptoms like discomfort, abdominal mass, or hemodynamic instability.
- Color Doppler ultrasonography is a preferred imaging modality, and surgical ligation/excision or percutaneous embolization are common treatments.
Conclusions:
- The incidence of iatrogenic IEA pseudoaneurysms is increasing.
- Clinical awareness is crucial to prevent morbidity in affected individuals.
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