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Massive hemoperitoneum due to ruptured inferior phrenic artery pseudoaneurysm after blunt trauma

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Abstract

There had been no previous reports of ruptured pseudoaneurysm of inferior phrenic artery shortly after blunt abdominal trauma. Traumatic arterial pseudoaneurysms are either iatrogenic or the result of penetrating injuries and one of the sequelae of trauma. Post-traumatic pseudoaneurysm develops at varying time intervals after the initial insult. To our knowledge, this is the first report of massive hemoperitoneum caused by ruptured inferior phrenic artery pseudoaneurysm after blunt trauma. Pseudoaneurysm of inferior phrenic artery in patient with diaphragm injury is potentially a life-threatening condition and requires urgent management. Diagnosis of ruptured inferior phrenic artery pseudoaneurysm is based on clinical assessment combined with radiological investigations. We report a case of ruptured left inferior phrenic artery pseudoaneurysm as one aspect of massive hemoperitoneum caused by blunt abdominal trauma.

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References

  1. Nunez DB Jr, Torres-Leon M, Munera F (2004) Vascular injuries of the neck and thoracic inlet: helical CT-angiographic correlation. Radiographics 24:1087–1100

    PubMed  Google Scholar 

  2. Loukas M, Hullett J, Wagner T (2005) Clinical anatomy of the inferior phrenic artery. Clin Anat 18:357–365

    Article  PubMed  Google Scholar 

  3. Kearney PA, Rouhana SW, Burney RE (1989) Blunt rupture of the diaphragm: mechanism, diagnosis, and treatment. Ann Emerg Med 18:1326–1330

    Article  PubMed  CAS  Google Scholar 

  4. Boulanger BR, Milzman DP, Rosati C, Rodriguez A (1993) A comparison of right and left blunt traumatic diaphragmatic rupture. J Trauma 35:255–260

    Article  PubMed  CAS  Google Scholar 

  5. Shah R, Sabanathan S, Mearns AJ, Choudhury AK (1995) Traumatic rupture of diaphragm. Ann Thorac Surg 60:1444–1449

    Article  PubMed  CAS  Google Scholar 

  6. Iochum S, Ludig T, Walter F et al (2002) Imaging of diaphragmatic injury: a diagnostic challenge? Radiographics 22:S103–S118

    PubMed  Google Scholar 

  7. Estrera AS, Landay MJ, McClelland RN (1985) Blunt traumatic rupture of the right hemidiaphragm: experience in 12 patients. Ann Thorac Surg 39:525–530

    Article  PubMed  CAS  Google Scholar 

  8. Sliker CW (2006) Imaging of diaphragm injuries. Radiol Clin North Am 44:199–211

    PubMed  Google Scholar 

  9. Bergin D, Ennis R, Keogh C, Fenlon HM, Murray JG (2001) The “dependent viscera” sign in CT diagnosis of blunt traumatic diaphragmatic rupture. Am J Roentgenol 177:1137–1140

    CAS  Google Scholar 

  10. Larici AR, Gotway MB, Litt HI et al (2002) Helical CT with sagittal and coronal reconstructions: accuracy for detection of diaphragmatic injury. Am J Roentgenol 179:451–457

    Google Scholar 

  11. Nchimi A, Szapiro D, Ghaye B et al (2005) Helical CT of blunt diaphragmatic rupture. Am J Roentgenol 184:24–30

    Google Scholar 

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Correspondence to Jun Woo Lee.

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Lee, J.W., Kim, S., Kim, C.W. et al. Massive hemoperitoneum due to ruptured inferior phrenic artery pseudoaneurysm after blunt trauma. Emerg Radiol 13, 147–149 (2006). https://doi.org/10.1007/s10140-006-0524-6

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  • DOI: https://doi.org/10.1007/s10140-006-0524-6

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