Spontaneous soft tissue hematomas

A Dohan; L Darnige; M Sapoval; O Pellerin

doi:10.1016/j.diii.2015.03.014

Spontaneous soft tissue hematomas

Diagn Interv Imaging. 2015 Jul-Aug;96(7-8):789-96. doi: 10.1016/j.diii.2015.03.014. Epub 2015 Jun 9.

Authors

A Dohan¹, L Darnige², M Sapoval³, O Pellerin⁴

Affiliations

¹ Université Paris-Diderot, 10, rue de Verdun, 75010 Paris, France; Inserm U965, French National Institute for Health and Medical Research Unit 965, France; Assistance publique-Hôpitaux de Paris, Hôpital Lariboisière, Visceral and Vascular Radiology Department, 2, rue Ambroise-Paré, 75475 Paris, France.
² Faculté de médecine, Université Paris Descartes Sorbonne Paris Cité Assistance Public Hôpitaux de Paris, Hôpital Européen Georges Pompidou Hematology Department, 20, rue Leblanc, 75015 Paris, France.
³ Université Paris Descartes, Sorbonne Paris Cité, Faculté de médecine, 15, rue de l'École de Médecine, 75006 Paris, France; INSERM U970, Faculté de médecine, Université Paris Descartes Sorbonne Paris Cité Assistance Public Hôpitaux de Paris, Hôpital Européen Georges Pompidou Vascular and Oncological Interventional Radiology Department, 20, rue Leblanc, 75015 Paris, France; Assistance publique-Hôpitaux de Paris, Hôpital Européen Georges-Pompidou, Vascular and Oncological Interventional Radiology Department, 20, rue Leblanc, 75015 Paris, France.
⁴ Université Paris Descartes, Sorbonne Paris Cité, Faculté de médecine, 15, rue de l'École de Médecine, 75006 Paris, France; INSERM U970, Faculté de médecine, Université Paris Descartes Sorbonne Paris Cité Assistance Public Hôpitaux de Paris, Hôpital Européen Georges Pompidou Vascular and Oncological Interventional Radiology Department, 20, rue Leblanc, 75015 Paris, France; Assistance publique-Hôpitaux de Paris, Hôpital Européen Georges-Pompidou, Vascular and Oncological Interventional Radiology Department, 20, rue Leblanc, 75015 Paris, France. Electronic address: olivier.pellerin@aphp.fr.

PMID: 26066549
DOI: 10.1016/j.diii.2015.03.014

Abstract

Spontaneous muscle hematomas are a common and serious complication of anticoagulant treatment. The incidence of this event has increased along with the rise in the number of patients receiving anticoagulants. Radiological management is both diagnostic and interventional. Computed tomography angiography (CTA) is the main tool for the detection of hemorrhage to obtain a positive, topographic diagnosis and determine the severity. Detection of an active leak of contrast material during the arterial or venous phase is an indication for the use of arterial embolization. In addition, the interventional radiological procedure can be planned with CTA. Arterial embolization of the pedicles that are the source of the bleeding is an effective technique. The rate of technical and clinical success is 90% and 86%, respectively.

Keywords: Angio-computed tomography; Embolization; Hematomas of soft tissue; Muscle hematomas.

Publication types

Review

MeSH terms

Abdominal Muscles / blood supply
Aged
Angiography
Anticoagulants / adverse effects
Anticoagulants / therapeutic use
Embolization, Therapeutic / methods*
Extravasation of Diagnostic and Therapeutic Materials / etiology
Extravasation of Diagnostic and Therapeutic Materials / therapy
Female
Hematoma / chemically induced
Hematoma / diagnosis
Hematoma / therapy*
Humans
Male
Muscular Diseases / chemically induced
Muscular Diseases / therapy*
Psoas Muscles / blood supply
Risk Factors
Tomography, X-Ray Computed

Substances

Anticoagulants