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Inferior Epigastric Artery Pseudoaneurysm Following Paracentesis in a Liver Graft Recipient: A Case Report Publisher



Ebrahimi AP1 ; Toosi MN2, 6 ; Davoudi S3, 6 ; Jafarian A1, 6 ; Ghanaati H4, 5, 6
Authors
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Authors Affiliations
  1. 1. Department of Surgery, Hepatobiliary and Liver Transplantation Division Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Internal Medicine, Gastroenterology Division Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Infectious Diseases, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Radiology, Medical Imaging Center Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Liver Transplant Research Center, Tehran University of Medical Sciences, Tehran, Iran

Source: Iranian Journal of Radiology Published:2015


Abstract

Pseudoaneurysm happens when the artery wall is injured and the blood is contained by the surrounding tissues with eventual formation of a fibrous sac communicating with the artery. We report a case of a 39-year-old man with inferior epigastric artery (IEA) pseudoaneurysm after paracentesis. The pseudoaneurysm was diagnosed by Doppler ultrasound and treated by surgical intervention regarding the patient’s underlying comorbidity. IEA false aneurysm must be included in the differential diagnosis during investigation of the cause of any swelling after paracentesis. Cirrhotic patients may be more prone to this complication because of thin rectus muscle that could not confine the hematoma. © 2015, Tehran University of Medical Sciences and Iranian Society of Radiology.