Successful Endovascular Embolization for Hemorrhage from Superficial Inferior Epigastric Artery after Inguinal Hernia...

Bleeding from the superficial inferior epigastric artery (SIEA) following inguinal hernia repair is extremely rare. However, if such bleeding leads to hemodynamic instability, surgical or transarterial embolization (TAE) intervention is required. We report the case of a 71-year-old man who, after undergoing laparoscopic repair for a recurrent direct inguinal hernia, was referred to the interventional radiology department following active bleeding in the right inguinal area. Selective external iliac artery and SIEA angiography revealed contrast medium extravasation from the right SIEA branch. The bleeding branch was embolized using a mixture of N-butyl cyanoacrylate and iodized oil. Postembolization angiography demonstrated successful hemostasis without complications.