PMC5602515_01
A contrast-enhanced CT-scan showed contrast fluid extravasation (arrow) from the left external iliaca artery.
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An acute contrast-enhanced computer tomography (CT) revealed retroperitoneal bleeding from the left external iliac artery (Fig. 1) that was treated with an emergency damage control endo-grafting (12 mm wide and 8 cm long Fluency covered stentgraft, Bard, Tempe, AZ.
(a) A contrast-enhanced CT-scan showed a hematoma including air (red arrow) near the covered stent and in close relation to the sigmoid colon (black arrow). (b) Axial slide of hematoma (5.8 x 8.1 cm) with air and reaction near the covered stent (arrow) indicating an abscess with communication between the external iliac artery and sigmoid. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)
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CT-scan that showed a hematoma including air near the covered stent and the sigmoidal colon in close relation (Fig. 2). Clostridium tertium bacterium was found in blood cultures and white blood count and C-reactive-protein concentration were decreasing.