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CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2019; 3(02): 65-67
DOI: 10.4103/AJIR.AJIR_4_19
Case Report

Extrinsic Compression of Transplant Hepatic Artery by a Hemostatic Agent: “Surgiceloma”

Umar Tariq
Department of Radiology, Geisinger Medical Center, Danville, PA, USA
,
Dimitra Landis
Department of Radiology, Geisinger Medical Center, Danville, PA, USA
,
Anil Kotru
Department of Radiology, Geisinger Medical Center, Danville, PA, USA
,
Ashok Bhanushali
Department of Radiology, Geisinger Medical Center, Danville, PA, USA
› Author Affiliations Financial support and sponsorship Nil.
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A 38-year-old man who underwent liver transplantation was found to have absent vascular flow in the common hepatic artery (CHA) on Doppler ultrasound and angiogram 1 day after surgery. Surgical reexploration revealed a mass of expanded Surgicel compressing the CHA. Surgicel is an absorbable hemostatic agent used to control intraoperative bleeding. Blood flow was restored once the mass was removed, and the patient recovered uneventfully. Interventional radiologists need to recognize this finding of extrinsic vascular compression on hepatic angiogram to avoid unnecessary interventions. Furthermore, increased awareness of the clinical and imaging findings associated with compression of an artery by a “Surgiceloma” may increase the consideration of this phenomenon as a differential in the setting of postoperative impaired perfusion.

Hemostatic agent - liver transplant - Surgicel - vascular compression


Publication History

Article published online:
26 March 2021

© 2019. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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