Added value of contrast-enhanced ultrasound (CEUS) with Sonovue® in the diagnosis of inferior epigastric artery pseudoaneurysm: report of a case and review of literature
The anatomical position of the inferior epigastric artery (IEA), within the rectus sheath, subjects patients to possible IEA injury during abdominal wall surgical and interventional procedures. Pseudoaneurysm arising from IEA is very uncommon with only 16 cases reported in the literature. We present a case of an IEA false aneurysm resulting from therapeutic paracentesis for ascites in a 71-year-old patient who came to our department for abdominal pain and signs of anemization. To our knowledge, no published reports are currently available describing an IAE pseudoaneurysm successfully diagnosed with contrast-enhanced ultrasound.
KeywordsIatrogenic pseudoaneurysm Inferior epigastric artery (IEA) Ultrasound imaging Contrast-enhanced ultrasound (CEUS) Sonovue®
Each author has participated sufficiently in any submission to take public responsibility for its content.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
Written informed consent was obtained from all patients, and the study was approved by the ethics committee of the institution.
- 7.Corvino A, Catalano O, Corvino F, Sandomenico F, Petrillo A (2017) Diagnostic performance and confidence of contrast-enhanced ultrasound in the differential diagnosis of cystic and cysticlike liver lesions. AJR Am J Roentgenol 209(3):W119–W127. https://doi.org/10.2214/ajr.16.17062 CrossRefPubMedGoogle Scholar
- 8.Corvino A, Catalano O, Setola SV, Sandomenico F, Corvino F, Petrillo A (2015) Contrast-enhanced ultrasound in the characterization of complex cystic focal liver lesions. Ultrasound Med Biol 41(5):1301–1310. https://doi.org/10.1016/j.ultrasmedbio.2014.12.667 CrossRefPubMedGoogle Scholar
- 15.Corvino A, Corvino F, Catalano O, Sandomenico F, Petrillo A (2017) The tail and the string sign: new sonographic features of subcutaneous melanoma metastasis. Ultrasound Med Biol 43(1):370–374. https://doi.org/10.1016/j.ultrasmedbio.2016.09.008 CrossRefPubMedGoogle Scholar
- 19.Cangiano G, Corvino F, Giurazza F, Silvestre M, Amodio F, Corvino A, Niola R (2019) Endovascular treatment of simultaneous iliac and superficial femoral arterial pseudoaneurysms after stenting procedure complications. Vasc Endovascular Surg 53(2):160–164. https://doi.org/10.1177/1538574418805588 CrossRefPubMedGoogle Scholar