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Spontaneous inferior epigastric artery pseudoaneurysm
Author(s) -
Venkatesh Sudhakar Kundapur,
Reynolds Visnja Baksa,
Raj Sidhu Harvinder,
Maran Priyanthi Kumarasinghe
Publication year - 2010
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.20692
Subject(s) - medicine , pseudoaneurysm , umbilicus (mollusc) , inferior epigastric artery , radiology , histopathology , ultrasound , aneurysm , surgery , anatomy , artery , pathology
A case of spontaneous pseudoaneurysm of the inferior epigastric artery—diagnosed on Doppler sonography—is presented. A 19‐year‐old boy presented with a lump in the anterior abdominal wall. Clinically a smooth, nontender, and noncompressible mass was present above umbilicus to the right of midline. A bruit was heard over the swelling. Doppler sonography demonstrated an oval hypoechoic structure in the right rectus sheath with turbulent flow. The pseudoaneurysm could be traced to the inferior epigastric artery. Surgical excision of pseudoaneurysm was performed. Histopathology showed myxoid changes in the wall of the pseudoaneurysm with no inflammatory changes. © 2010 Wiley Periodicals, Inc. J Clin Ultrasound 2010