Author/Authors :
Andrea Capozzi, Vito Department of Gynecology and Obstetrics - University of Parma, Parma, Italy , Butera, Diana Department of Gynecology and Obstetrics - University of Parma, Parma, Italy , Armano, Giulia Department of Gynecology and Obstetrics - University of Parma, Parma, Italy , Gaiano, Michela Department of Gynecology and Obstetrics - University of Parma, Parma, Italy , Monfardini, Luciano Department of Gynecology and Obstetrics - University of Parma, Parma, Italy , Gambino, Giulia Department of Gynecology and Obstetrics - University of Parma, Parma, Italy , Cianciolo, Alessandra Department of Gynecology and Obstetrics - University of Parma, Parma, Italy , Cianciolo, Alessandra Department of Surgical Sciences - University of Parma, Parma, Italy , Epifani, Enrico Department of Surgical Sciences - University of Parma, Parma, Italy , Berretta, Roberto Department of Gynecology and Obstetrics - University of Parma, Parma, Italy
Abstract :
Hemoperitoneum often occurs due to abdominal trauma, abdominal tumors, gastro-intestinal per-foration and more rarely it’s spontaneous due to coagulopathies. Superior epigastric artery (SEA) iatrogenic damage is rarer than the Inferior epigastric artery injury, it may occur during laparotomy and, in most cases, it causes a rectus muscle hematoma. We present the case of a caucasian 44 years-old-woman with hemoperi-toneum after cytoreductive surgery for ovarian cancer. Active bleeding from the distal branch of the SEA was diagnosed at computed tomography and coil embolization followed by surgical laparotomic drainage of the hemoperitoneum was performed. After initial resolution, active bleeding from the same vessel was observed. Further embolization of the same vessel was necessary to stop bleeding. Ultrasound follow-up showed a com-plete resolution of the hemoperitoneum. (www.actabiomedica.it)
Keywords :
Hemoperitoneum , Superior epigastric artery bleeding , Embolization , Laparotomic complication
