Obstructive Uropathy because of a Large Rectus Sheath Haematoma: A Case Report of Combined Interventional Radiology and Surgical Approach A. Gangemi,

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Presentation transcript:

Obstructive Uropathy because of a Large Rectus Sheath Haematoma: A Case Report of Combined Interventional Radiology and Surgical Approach A. Gangemi, H.N. Mashbari, J.T. Bui EJVES Short Reports Volume 34, Pages 24-27 (January 2017) DOI: 10.1016/j.ejvssr.2017.02.001 Copyright © 2017 The Authors Terms and Conditions

Figure 1 Active arterial haemorrhage into the rectus sheath. Axial computed tomography of the pelvis with contrast shows active arterial haemorrhage into right rectus sheath (white arrowhead) and large haematoma with layering of blood in the pelvis (black arrow). EJVES Short Reports 2017 34, 24-27DOI: (10.1016/j.ejvssr.2017.02.001) Copyright © 2017 The Authors Terms and Conditions

Figure 2 Large rectus sheath haematoma extending into pelvis and compressing the bladder. Sagittal computed tomography abdomen and pelvis shows the haematoma extending into the extraperitoneal pelvis causing displacement and obscuration of the bladder due to the size of the haematoma. Notice the active arterial haemorrhage (white arrowhead). EJVES Short Reports 2017 34, 24-27DOI: (10.1016/j.ejvssr.2017.02.001) Copyright © 2017 The Authors Terms and Conditions

Figure 3 Hydronephrosis. Renal ultrasound shows right hydronephrosis. EJVES Short Reports 2017 34, 24-27DOI: (10.1016/j.ejvssr.2017.02.001) Copyright © 2017 The Authors Terms and Conditions

Figure 4 Embolisation of right inferior epigastric artery. Coaxial microcatheter into the right inferior epigastric artery shows proximal embolisation with several microcoils. EJVES Short Reports 2017 34, 24-27DOI: (10.1016/j.ejvssr.2017.02.001) Copyright © 2017 The Authors Terms and Conditions

Figure 5 Intra-operative evacuation of haematoma. Intra-operative picture showing rectus sheath haematoma visible through the rectus sheath. EJVES Short Reports 2017 34, 24-27DOI: (10.1016/j.ejvssr.2017.02.001) Copyright © 2017 The Authors Terms and Conditions

Figure 6 Resolution of hydronephrosis. Post-operative right renal ultrasound shows interval resolution of hydronephrosis. EJVES Short Reports 2017 34, 24-27DOI: (10.1016/j.ejvssr.2017.02.001) Copyright © 2017 The Authors Terms and Conditions