PMC5730433_01
Computed tomography (CT) scan of the large haematoma. CT revealed a large haematoma in the right retroperitoneal space due to rupture of the right lumber artery aneurysm.
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The computed tomography (CT) scan showed a large haematoma in the right retroperitoneal space due to rupture of a right lumbar artery aneurysm (Fig. 1).
Emergency angiogram through the right femoral artery. The arrow shows active extravasation of contrast from the ruptured third right lumbar artery aneurysm.
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The emergency angiogram through the right femoral artery showed active extravasation of contrast medium from the ruptured aneurysm of the third right lumbar artery, which was successfully selected using a manually curved 4 Fr hook shaped catheter (RC-09; Medikit, Tokyo, Japan) (Fig. 2).
Digital subtraction angiogram after embolisation with a coil and N-butyl-2-cyanoacrylate. The outflow artery is shown.
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Three distal arterioles were successfully embolised using several microcoils (Tornado  Embolisation Coil, MReye  Embolisation Coil; Cook Medical, Bloomington, IN, USA), measuring 2-5 mm in diameter (Fig. 3).
Digital subtraction angiogram after embolisation of the third right lumbar artery. re is no contrast in the aneurysm.
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The inflow artery was embolised using the same microcoils measuring 2-4 mm in diameter. The final angiogram showed that the third right lumbar artery aneurysm was embolised successfully (Fig. 4).