Trans Arterial Embolization of Spontaneous Abdominal Muscle Bleeding

Authors

  • Pierpaolo Biondetti Radiology Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
  • Gaetano Valerio Davide Amato Postgraduate School of Radiology, University of Milan, Milan, Italy https://orcid.org/0009-0000-2579-2022
  • Carolina Lanza Radiology Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
  • Serena Carriero Radiology Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
  • Velio Ascenti Postgraduate School of Radiology, University of Milan, Milan, Italy
  • Chiara Grilli Postgraduate School of Radiology, University of Milan, Milan, Italy
  • Edon Xhepa Postgraduate School of Radiology, University of Milan, Milan, Italy
  • Salvatore Alessio Angileri Radiology Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Ita
  • Anna Maria Ierardi Radiology Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
  • Gianpaolo Carrafiello Radiology Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy and Università degli Studi di Milano, Milan, Italy

DOI:

https://doi.org/10.26676/jevtm.33472

Keywords:

Spontaneous Abdominal Bleeding, Intramuscular Hematoma, Hemorrhage Control, Trans Arterial Embolization, Interventional Radiology

Abstract

Spontaneous abdominal muscle bleeding is an uncommon condition that usually arises in elderly and fragile patients. Commonly affected areas include body wall muscles, particularly the rectus sheath and the iliopsoas, with clinical manifestations such as abdominal pain, groin pain, anemia, and in severe cases, hemorrhagic shock. A computed tomography multiphase scan is the preferred modality of examination, as it allows the characterization of hematomas and the assessment of active bleeding. Conservative management of coagulopathy is standard care for stable patients while embolization and surgical options are reserved for those with hemodynamic instability or significant bleeding. Current literature provides incongruous results on outcomes, while some authors consider embolization only after conservative treatment failure, other authors advocate for a more aggressive approach in patients who are at high risk of developing a poor outcome. This discrepancy underlines the need for further standardized research to optimize management approaches in this fragile patient population.

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Published

2025-01-30

How to Cite

Biondetti, P., Amato, G. V. D., Lanza, C., Carriero, S., Ascenti, V., Grilli, C., … Carrafiello, G. (2025). Trans Arterial Embolization of Spontaneous Abdominal Muscle Bleeding. Journal of Endovascular Resuscitation and Trauma Management. https://doi.org/10.26676/jevtm.33472

Issue

Section

Narrative Review Articles

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