PMC5299186_01
Contrasted enhanced CT of the left thigh demonstrates an area of extravasation and surrounding hematoma.
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A CT angiogram of the left lower extremity was performed for increasing swelling which revealed a large soft tissue hematoma along the left hemipelvis and upper thigh with active extravasation likely emanating from a small branch of the left profunda femoris (focus of contrast blush) (Figures 1 and 2).
Coronal CT reconstruction further details the area of extravasation and associated hematoma.
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fig2
A CT angiogram of the left lower extremity was performed for increasing swelling which revealed a large soft tissue hematoma along the left hemipelvis and upper thigh with active extravasation likely emanating from a small branch of the left profunda femoris (focus of contrast blush) (Figures 1 and 2).
Left lower extremity angiogram demonstrates an area of contrast extravasation arising from a peripheral deep femoral branch.
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Digital angiography was performed and a site of extravasation was noted within a small peripheral branch of the profunda (Figures 3 and 4).
Selective catheterization confirmed the supply to the bleeding vessel.
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fig4
Digital angiography was performed and a site of extravasation was noted within a small peripheral branch of the profunda (Figures 3 and 4).
Postembolization angiogram confirms that hemostasis has been achieved.
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Repeat angiography demonstrated successful embolization and no further extravasation (Figure 5).
PMC5299186_02
Contrast enhanced CT demonstrates an area of active extravasation and surrounding hematoma.
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Abdomen/pelvis CT demonstrated a moderate size hematoma that was overlying the right hip with a 5 mm contrast blush suggesting active bleeding (Figures 6 and 7).
Coronal CT reconstructed images further detail the area of active extravasation and surrounding hematoma.
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Abdomen/pelvis CT demonstrated a moderate size hematoma that was overlying the right hip with a 5 mm contrast blush suggesting active bleeding (Figures 6 and 7).
Right lower extremity angiogram demonstrates vague area of extravasation.
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fig8
The 5-French catheter was then positioned within the right external iliac artery and an area of active arterial extravasation and pseudoaneurysm formation was noted to be originating from the subsegmental transverse branch of lateral circumflex femoral branch of the right profunda femoris artery (Figures 8 and 9).
Selective deep femoral branch arteriogram further details the area of active bleeding.
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fig9
The 5-French catheter was then positioned within the right external iliac artery and an area of active arterial extravasation and pseudoaneurysm formation was noted to be originating from the subsegmental transverse branch of lateral circumflex femoral branch of the right profunda femoris artery (Figures 8 and 9).
Postembolization arteriogram confirms successful hemostasis.
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fig10
No further active arterial extravasation was noted after repeat angiogram (Figure 10), all catheters were withdrawn, and a 5F Mynx vascular closure device was deployed.