Intraperitoneal hemorrhage following primary cytoreductive surgery for ovarian cancer: Successful treatment with superior epigastric artery embolization: A rare case of superior epigastric artery injury

Intraperitoneal hemorrhage following primary cytoreductive surgery for ovarian cancer: Successful treatment with superior epigastric artery embolization

A rare case of superior epigastric artery injury

Authors

  • Vito Andrea Capozzi Department of Gynecology and Obstetrics, University of Parma, Italy
  • Diana Butera Department of Gynecology and Obstetrics of Parma, University of Parma
  • Giulia Armano Department of Gynecology and Obstetrics of Parma, University of Parma
  • Michela Gaiano Department of Gynecology and Obstetrics of Parma, University of Parma
  • Luciano Monfardini Department of Gynecology and Obstetrics of Parma, University of Parma
  • Giulia Gambino Department of Gynecology and Obstetrics of Parma, University of Parma
  • Alessandra Cianciolo Department of Gynecology and Obstetrics of Parma, University of Parma
  • Ilaria Paladini Department of Radiology, Department of Surgical Sciences, University of Parma, Parma, Italy
  • Enrico Epifani Department of Radiology, Department of Surgical Sciences, University of Parma, Parma, Italy
  • Roberto Berretta Department of Gynecology and Obstetrics of Parma, University of Parma

Keywords:

Hemoperitoneum; Superior epigastric artery bleeding; Embolization; Laparotomic complication.

Abstract

Hemoperitoneum often occurs due to abdominal trauma, abdominal tumors, gastro-intestinal perforation 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 hemoperitoneum 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 complete resolution of the hemoperitoneum

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Published

30-04-2021

Issue

Section

Case Reports: General Surgery and Miscellanea

How to Cite

1.
Capozzi VA, Butera D, Armano G, Gaiano M, Monfardini L, Gambino G, et al. Intraperitoneal hemorrhage following primary cytoreductive surgery for ovarian cancer: Successful treatment with superior epigastric artery embolization: A rare case of superior epigastric artery injury. Acta Biomed [Internet]. 2021 Apr. 30 [cited 2024 Jul. 24];92(S1). Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/9768