Journal of the Korean Geriatrics Society  2014;18(4):256-259

doi:10.4235/jkgs.2014.18.4.256

Embolization of Inferior Epigastric Artery for Treatment of Rectus Sheath Hematoma Caused by Insulin Injection During Anticoagulation and Antiplatelet Therapy.

Yon Woong PARK 1 ; Min Keun KIM ; Jeong Won PARK ; Chan Wook LEE ; Seung Pyo HONG ; Young Soo LEE ; Jae Kean RYU ; Ji Yong CHOI ; Kee Sik KIM ; Jin Bae LEE

Affiliations

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Keywords

Hematoma; Injections; Insulin; Rectus abdominis; Embolization

Country

Republic of Korea

Language

English

Abstract

Rectus sheath hematoma, caused by rupture of epigastric vessel or muscle tear, is most frequently encountered in association with anticoagulation therapy, trauma, operation, and hematologic disorder. It rarely occurs spontaneously. Rectus sheath hematoma related to subcutaneous injection of insulin is very rare. We report a case of percutaneous catheterbased coil embolization for treatment of rectus sheath hematoma caused by subcutaneous injection of insulin on abdomen during anticoagulation and antiplatelet therapy in an 83-year-old thin woman with diabetes.