Japanese Journal of Radiology

, Volume 32, Issue 4, pp 238–241 | Cite as

Angiography-assisted computed tomography for the detection and intervention of a subtle aneurysm of the omentum

  • Hiroyuki Tajima
  • Shiro Onozawa
  • Saiko Isshiki
  • Naoko Takenoshita
  • Tadashi Kaneshiro
  • Taro Ichikawa
  • Satoru Murata
  • Kiyoshi Matsuda
  • Akira Furukawa
Case Report
First Online:
Received:
Accepted:
  • 145 Downloads

Abstract

Intra-abdominal hemorrhage caused by omental artery rupture is a rare condition traditionally diagnosed via exploratory laparotomy in hemodynamically unstable patients. We experienced a case in which contrast-enhanced multidetector computed tomography (MDCT) and digital subtraction angiography did not identify the rupture site, whereas CT during left omental arteriography depicted a small 4-mm aneurysm. The lesion was then embolized with microcoils and N-butyl cyanoacrylate lipiodol glue. We consider that performing a CT during selective arteriography could be useful in cases in which the rupture site is unclear with other imaging techniques such as contrast-enhanced MDCT and digital subtraction angiography.

Keywords

Computed tomography Arteriography Omental artery rupture Transcatheter arterial embolization 
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Notes

Conflict of interest

None.

References

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Copyright information

© Japan Radiological Society 2014

Authors and Affiliations

  • Hiroyuki Tajima
    • 1
  • Shiro Onozawa
    • 2
  • Saiko Isshiki
    • 3
  • Naoko Takenoshita
    • 1
  • Tadashi Kaneshiro
    • 1
  • Taro Ichikawa
    • 3
  • Satoru Murata
    • 2
  • Kiyoshi Matsuda
    • 4
  • Akira Furukawa
    • 5
  1. 1.Center for Minimally Invasive TreatmentNippon Medical School Musashikosugi HospitalKawasakiJapan
  2. 2.Department of RadiologyNippon Medical School HospitalTokyoJapan
  3. 3.Department of RadiologyNippon Medical School Musashikosugi HospitalKawasakiJapan
  4. 4.Department of Emergency MedicineNippon Medical School Musashikosugi HospitalKawasakiJapan
  5. 5.Department of Radiological ScienceTokyo Metropolitan UniversityTokyoJapan

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