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J Pediatr Intensive Care 2019; 08(03): 187-190
DOI: 10.1055/s-0039-1683385
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Ultrasound-Guided Thrombin Injection for Iliopsoas Pseudoaneurysm

Jonathan Weissmann
1   Vascular Surgery Unit, Meir Medical Center, Kfar Saba, Israel
,
Yigal Griton
2   Interventional Radiology Unit, Meir Medical Center, Kfar Saba, Israel
,
Shadi Mahajna
1   Vascular Surgery Unit, Meir Medical Center, Kfar Saba, Israel
,
Moanis Ajaj
1   Vascular Surgery Unit, Meir Medical Center, Kfar Saba, Israel
,
Simone Fajer
1   Vascular Surgery Unit, Meir Medical Center, Kfar Saba, Israel
› Author Affiliations
Further Information

Publication History

19 November 2018

01 February 2019

Publication Date:
05 March 2019 (online)

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Abstract

Bilateral iliopsoas hematoma is an uncommon phenomenon, which has been described in individuals receiving anticoagulation therapy. The hematoma is caused by bleeding of arteries to the muscle. In rare cases, pseudoaneurysms can also be formed. We present a case of an adolescent, with partial factor XI deficiency, who experienced a mild fall. Imaging studies revealed large bilateral iliopsoas hematomas and bilateral iliopsoas pseudoaneurysms. One pseudoaneurysm was demonstrated by angiography and was embolized with micro coils. The second, more persistent one, was sealed via ultrasound-guided thrombin injection, with excellent morphological and clinical results.

Keywords

pseudoaneurysm - iliopsoas hematoma - thrombin - factor XI deficiency - adolescent
 

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