Extrinsic Compression of Transplant Hepatic Artery by a Hemostatic Agent: “Surgiceloma”
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 hemostat...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-07-01
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| Series: | The Arab Journal of Interventional Radiology |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/AJIR.AJIR_4_19 |
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| author | Umar Tariq Dimitra Landis Anil Kotru Ashok Bhanushali |
| author_facet | Umar Tariq Dimitra Landis Anil Kotru Ashok Bhanushali |
| author_sort | Umar Tariq |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-3273af6a80eb4bc6ba6e6bc76f7fc838 |
| institution | Matheson Library |
| issn | 2542-7075 2542-7083 |
| language | English |
| publishDate | 2019-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | The Arab Journal of Interventional Radiology |
| spelling | doaj-art-3273af6a80eb4bc6ba6e6bc76f7fc8382025-08-02T04:49:49ZengWolters Kluwer Medknow PublicationsThe Arab Journal of Interventional Radiology2542-70752542-70832019-07-01302656710.4103/AJIR.AJIR_4_19Extrinsic Compression of Transplant Hepatic Artery by a Hemostatic Agent: “Surgiceloma”Umar Tariq0Dimitra Landis1Anil Kotru2Ashok Bhanushali3Department of Radiology, Geisinger Medical Center, Danville, PA, USADepartment of Radiology, Geisinger Medical Center, Danville, PA, USADepartment of Radiology, Geisinger Medical Center, Danville, PA, USADepartment of Radiology, Geisinger Medical Center, Danville, PA, USAA 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.http://www.thieme-connect.de/DOI/DOI?10.4103/AJIR.AJIR_4_19hemostatic agentliver transplantsurgicelvascular compression |
| spellingShingle | Umar Tariq Dimitra Landis Anil Kotru Ashok Bhanushali Extrinsic Compression of Transplant Hepatic Artery by a Hemostatic Agent: “Surgiceloma” The Arab Journal of Interventional Radiology hemostatic agent liver transplant surgicel vascular compression |
| title | Extrinsic Compression of Transplant Hepatic Artery by a Hemostatic Agent: “Surgiceloma” |
| title_full | Extrinsic Compression of Transplant Hepatic Artery by a Hemostatic Agent: “Surgiceloma” |
| title_fullStr | Extrinsic Compression of Transplant Hepatic Artery by a Hemostatic Agent: “Surgiceloma” |
| title_full_unstemmed | Extrinsic Compression of Transplant Hepatic Artery by a Hemostatic Agent: “Surgiceloma” |
| title_short | Extrinsic Compression of Transplant Hepatic Artery by a Hemostatic Agent: “Surgiceloma” |
| title_sort | extrinsic compression of transplant hepatic artery by a hemostatic agent surgiceloma |
| topic | hemostatic agent liver transplant surgicel vascular compression |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/AJIR.AJIR_4_19 |
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