- The Seldinger technique of transfemoral catheterization is a safe procedure with an overall complication rate of 1% - 2%.
- Small haematomas at the femoral puncture site are relatively common,
easily recognized,
and usually insignificant.
- Pelvic and retroperitoneal haematomas secondary to angiography are uncommon.
- Haematomas of the abdominal wall or retroperitoneal cavity have been reported as a cause of acute abdomen.
- Spontaneous rectus sheath haematomas caused by the rupture of the inferior epigastric artery is a rare but well-known acute abdominal disease.
- However,
haematomas of the lateral abdominal wall caused by a rupture of the deep circumflex iliac artery,
including both spontaneous and traumatic cases,
are very rare.
- Lateral abdominal wall haematoma can occur as a result of non-traumatic injury such as iatrogenic injury to vessels or abdominal muscles,
in presence of predisposing factors.
- Fukunaga et al.
reported a lateral abdominal wall haematoma as a rare complication after carotid artery stenting.
- Hiramatsu et al.
reported a case of an abdominal wall haematoma which caused by Seldinger method via the femoral artery.
- Asmussen et al.
reported a case of stripping of the deep circumflex iliac artery as a rare complication to percutaneous catheterisation of the femoral artery.
- Conservative treatment for abdominal wall haematoma is acceptable if no hemodynamic dysfunction is present,
the patient´s pain can be controlled,
peritoneal or urinary symptoms are absent,
and the haematoma is not increasing in size.
- Surgical treatment for this disease is restricted to case where complications exist.
- Recently,
reports have demonstrated that transcatheter arterial embolisation is an effective and less invasive method to control the active bleeding.
- We concluded that circumflex iliac artery perforation is a potential complication of transfemoral arteriography that can be treated successfully by transcatheter arterial embolisation.