26 August 2020: Articles
Post-Traumatic Retroperitoneal Hematoma Caused by Superior Rectal Artery Pseudoaneurysm
Challenging differential diagnosis, Unusual or unexpected effect of treatment, Rare disease
Karleigh R. Curfman A* , Mieka P. Shuman A , Kimberly M. Gorman A , Wesley B. Schrock A , Paul G. Meade ADOI: 10.12659/AJCR.924529
Am J Case Rep 2020; 21:e924529
Table 1. Summary of reported cases of superior rectal artery pseudoaneurysm and summary of additional rare locations of pseudoaneurysms.
| Presenting symptoms | Mechanism of injury | Treatment modality | Time to treatment |
|---|---|---|---|
| Abdominal pain, GI bleed | Fall while on anticoagulation | Angiographic coil embolization of SRA | 4 weeks from initial presentation; 8 hours from re-presentation |
| GI bleed | Penetrating perineal wound | Hartmann’s procedure, emergent Hartmann’s revision, subsequent angiography | PTD 0, PTD 3, PTD 19 |
| With Gelfoam embolization of inferior mesenteric artery, anterior branch of | |||
| Bilateral internal iliac arteries | |||
| GI bleed | Penetrating perineal wound | Celiotomy with sigmoid loop colostomy; angiography with | PTD 11, PTD 17 |
| N-butyl cyanoacrylate (NBCA) embolization of SRA | |||
| GI bleed | Endoscopic polypectomy | Angiographic glue embolization of SRA | 10 days after polypectomy |
| GI bleed | Antiplatelet use | Angiographic coil embolization of SRA | 10 days after symptom onset |
| Abdominal pain | Renovascular hypertension, fibrodysplasia | Angiographic coil embolization of SRA | 6 weeks after initial presentation |
| GI bleed | Tumor induced SRA rupture | Angiographic embolization | 1 day after symptom onset |
| GI bleed | History of bevacizumab therapy | Angiographic coil embolization of SRA | Not reported |
| Drowsiness | Acute head trauma | Cerebral angiogram with Histoacryl MMA embolization | Not reported |
| Headache, aphasia | Head trauma | Cerebral angiogram with glue MMA embolization | PTD 5 months |
| Abdominal pain | Apixaban use | Endovascular coiling | Immediate |
| Recurrent bleeding | Head trauma | Open surgical ligation | PTD 4 weeks |
| Pain, swelling | Laceration | Open surgical ligation | PTD 3 weeks |
| Summary of documented case details to aid in comparison of cases and results, including presenting symptom, mechanism, treatment modality, and time to treatment [–,–]. SRA – superior rectal artery; GI – gastrointestinal, PTD – post-trauma day; MMA – middle meningeal artery. | |||