Eur Radiol. 1999;9(8):1553-5.

Diagnosis and treatment of expanding haematoma of the lateral abdominal wall after blunt abdominal trauma.

Lefere P, Gryspeerdt S, Van Holsbeeck B, Baekelandt M.

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Department of Radiology, Stedelijk Ziekenhuis, Bruggesteenweg 90, B-8800 Roeselare, Belgium.

Abstract

We report a rare case of an expanding post-traumatic lateral abdominal wall haematoma. A superselective arteriogram of the deep circumflex iliac artery showed extravasation from the ascending branch, urging emergency therapy. Microcoil and Gelfoam embolisation was successfully performed. Haematomas of the abdominal wall can be divided in the common rectus sheath haematomas and the rare haematomas of the lateral abdominal wall. Differentiating both entities is essential, since there is a strong difference in their vascular supply. The typical vascular supply of the lateral abdominal wall is discussed, with emphasis on the ascending branch of the deep circumflex iliac artery.

PMID:: 10525864; [PubMed - indexed for MEDLINE]

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