Massive bleeding embolization of the right calf
A 90-year old woman came to our attention after a blunt trauma and subsequent hematoma in the right calf. The hematoma caused diastasis of the soft tissues of the leg with external bleeding.
The woman with a hemoglobin of 5mg/dl was carried to our angiography suite without further imaging. Diagnostic angiography confirmed a massive bleeding in the right calf.
Every feeding vessel
The subsequent angiography showed complete embolization of the treated vessel but some small branches were still supplying the bleeding.
Using the same microcatheter we were easily able to catheterize three small vessels arising from the peroneal artery. One was embolized with a 3x2 mm coil and the other two with PVA.
Dr. Rita Golfieri – Chief of Radiology Unit and Vice Director of Department of Digestive Disease – Sant’Orsola Malpighi Hospital - Bologna
Dr. Francesco Modestino – Interventional Radiologist – Sant’Orsola Malpighi Hospital - Bologna