Moon Sung Nam, Seo Sang Hyun, Jung Hyun Seok
Regional Trauma Center, Department of Radiology, Wonkwang University Hospital, Iksan, Korea.
J Trauma Inj. 2022 Jun;35(2):128-130. doi: 10.20408/jti.2020.0079. Epub 2021 Jun 10.
Abdominal wall hematoma (AWH) after blunt trauma is common, and most cases can be treated conservatively. More invasive treatment is required in patients with traumatic AWH if active bleeding is identified or there is no response to medical treatment. Herein, we report a case of endovascular embolization for traumatic subcutaneous AWH. Almost endovascular treatment for AWH is done through the deep inferior epigastric artery. However, in this case, the superficial inferior epigastric artery was the bleeding focus and embolization target. After understanding the vascular system of the abdominal wall, an endovascular approach and embolization is a safe and effective treatment option for AWH.
钝性创伤后腹壁血肿（AWH）很常见，大多数病例可采用保守治疗。如果发现有活动性出血或对药物治疗无反应，外伤性AWH患者则需要更具侵入性的治疗。在此，我们报告一例外伤性皮下AWH的血管内栓塞治疗病例。几乎所有AWH的血管内治疗都是通过腹壁下深动脉进行的。然而，在本病例中，腹壁下浅动脉是出血点和栓塞靶点。在了解腹壁血管系统后，血管内介入和栓塞是AWH一种安全有效的治疗选择。
