Inferior epigastric artery false aneurysms: review of the literature and case report

Eur J Vasc Endovasc Surg. 2007 Feb;33(2):182-6. doi: 10.1016/j.ejvs.2006.08.006. Epub 2006 Oct 20.

Abstract

A case report is presented of a IEA false aneurysm successfully embolized in a 50-year old man following a blunt abdominal injury. A literature review revealed another 15 cases. Most cases were iatrogenic (13/16) complicating abdominal wall procedures. Treatment options included open surgery (8 cases), percutaneous coil embolization (6), ultrasound guided thrombin injection or ultrasound guided compression (2). The selected treatment (surgical or non-surgical) was not affected by the size of the aneurysm (p=0.6) and was successful in all patients. However two of the non-surgically removed lesions (25%) remained unchanged in size for a long time causing discomfort. IEA false aneurysms represent an uncommon entity. Open surgery for IEA false aneurysms is easy and cheap. Endovascular approaches can lead to a long delay in resolution of the problem.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Injuries / complications
  • Abdominal Injuries / diagnosis
  • Aneurysm, False* / diagnosis
  • Aneurysm, False* / etiology
  • Aneurysm, False* / therapy
  • Angiography
  • Embolization, Therapeutic / methods*
  • Epigastric Arteries*
  • Humans
  • Male
  • Middle Aged
  • Tomography, X-Ray Computed
  • Wounds, Nonpenetrating / complications
  • Wounds, Nonpenetrating / diagnosis