Semin intervent Radiol 2007; 24(1): 068-071
DOI: 10.1055/s-2007-971192
Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Embolization of Postsurgical Obturator Artery Pseudoaneurysm

Jonathan M. Lorenz1 , Jeffrey A. Leef1
  • 1Department of Radiology, University of Chicago Hospitals, Chicago, Illinois
Further Information

Publication History

Publication Date:
27 March 2007 (online)

ABSTRACT

The anatomy of the obturator artery in the pelvis makes this vessel and its branches prone to iatrogenic injury during pelvic surgery. We present a postoperative obturator artery pseudoaneurysm treated by transcatheter embolization. Normal and variant obturator vascular anatomy, as well as pathology related to traumatic injury of this vessel, are subsequently discussed.

REFERENCES

  • 1 Negura A, Marderos G G, Marderos G H, Zanoschi C. [Anatomo-surgical study of hemorrhagic risks in urethro-vesical Burch-type suspension].  Rev Fr Gynecol Obstet. 1989;  84 941-943
  • 2 Yoon W, Kim J K, Jeong Y Y, Seo J J, Park J G, Kang H K. Pelvic arterial hemorrhage in patients with pelvic fractures: detection with contrast-enhanced CT.  Radiographics. 2004;  24 1591-1605
  • 3 Daeubler B, Anderson S E, Leunig M, Triller J. Hemorrhage secondary to pelvic fracture: coil embolization of an aberrant obturator artery.  J Endovasc Ther. 2003;  10 676-680
  • 4 Marsman J W, Schilstra S H, van Leeuwen H. Angiography and embolization of the corona mortis (aberrant obturator artery): a source of persistent pelvic bleeding.  Rofo. 1984;  141 708-710
  • 5 Letournel E. Acetabulum fractures: classification and management.  Clin Orthop Relat Res. 1980;  151 81-106
  • 6 Teague D C, Graney D O, Routt Jr M L. Retropubic vascular hazards of the ilioinguinal exposure: a cadaveric and clinical study.  J Orthop Trauma. 1996;  10 156-159
  • 7 Okcu G, Erkan S, Yercan H S, Osic U. The incidence and location of corona mortis: a study on 75 cadavers.  Acta Orthop Scand. 2004;  75 53-55

Jonathan M LorenzM.D. 

Department of Radiology, University of Chicago Hospitals

5840 S. Maryland Avenue, MC 2026, Chicago, IL 60637

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