16 February 2022>: Articles
A 48-Year-Old Man Presenting as an Emergency with Severe Back Pain, a Large Anterior Paravertebral Hematoma, and Spontaneous Rupture of the Right 9 Intercostal Artery Successfully Managed by Transcatheter Arterial Embolization: A Case Report
Challenging differential diagnosis, Management of emergency care, Rare disease
Shintaro Izumoto A* , Tomohiro Abe A , Takatoshi Koroki B , Eiji Furukoji A , Rie Masuda A , Hidenobu Ochiai ADOI: 10.12659/AJCR.934173
Am J Case Rep 2022; 23:e934173
Table 2. Summary of previous cases and the present case with spontaneous intercostal artery rupture without known underlying disease.
Ref | Author | Year | Age | Sex | Symptoms | Hemodynamic status | Bleeding site |
---|---|---|---|---|---|---|---|
[]7 | Moon | 2008 | 45 | Male | Right flank pain | Stable | Retroperitoneum |
[]8 | Mathew | 2008 | 69 | Male | Left chest pain | Shock | Left thorax, left abdominal wall |
[]9 | Dobrilovic | 2013 | 62 | Female | Chest and back pain | Shock | Left thorax |
[]10 | Dua | 2014 | 47 | Male | Right chest pain, dyspnea | Shock | Right thorax |
[]11 | Ishida | 2014 | 58 | Male | Back pain | Stable | Posterior mediastinum |
[]12 | Jang | 2015 | 39 | Male | Left flank pain | Stable | Left abdominal wall |
[]13 | Junck | 2015 | 63 | Male | Back pain | Stable | Posterior mediastinum |
[]14 | Tanaka | 2021 | 29 | Female | Left neck pain, disorientation | Shock | Left thorax |
Present case | 2021 | 48 | Male | Back pain | Stable | Posterior mediastinum | |
Ref. – reference; CT – computed tomography; CXR – chest X-ray; MRI – magnetic resonance imaging; MRA – magnetic resonance angiography; AXR – abdominal X-ray; ND – not described; TAE – transcatheter arterial embolization; VATS – video-assisted thoracic surgery. | |||||||
Ref | Key image tests | Ruptured intercostal artery | Side | Treatments | Complication | Outcome | |
[]7 | CT | 10 and 11 | Right | TAE | None | Alive | |
[]8 | Cxp, CT | 10 | Left | TAE | None | Alive | |
[]9 | MRI, MRA | ND | Left | TAE | ND | Alive | |
[]10 | CT | 11 | Right | Thoracotomy | None | Alive | |
[]11 | CT | 10 | Right | Conservative | None | Alive | |
[]12 | Axp, CT | 11 | Left | Conservative | None | Alive | |
[]13 | CT | 8 | Right | TAE | None | Alive | |
[]14 | Cxp, CT | 2 | Left | TAE+VATS | None | Alive | |
Present case | CT | 9 | Right | TAE | None | Alive | |
Ref. – reference; CT – computed tomography; CXR – chest X-ray; MRI – magnetic resonance imaging; MRA – magnetic resonance angiography; AXR – abdominal X-ray; ND – not described; TAE – transcatheter arterial embolization; VATS – video-assisted thoracic surgery. |