case_images: PMC5299186_01
case_images: Contrasted enhanced CT of the left thigh demonstrates an area of extravasation and surrounding hematoma.
case_images: CRIEM2017-8079674.001.jpg
case_images: PMC5299186_01_CRIEM2017-8079674.001.jpg
case_images: fig1
case_images: A CT angiogram of the left lower extremity was performed for increasing swelling which revealed a large soft tissue hematoma along the left hemipelvis and upper thigh with active extravasation likely emanating from a small branch of the left profunda femoris (focus of contrast blush) (Figures 1 and 2).
case_images: Coronal CT reconstruction further details the area of extravasation and associated hematoma.
case_images: CRIEM2017-8079674.002.jpg
case_images: PMC5299186_01_CRIEM2017-8079674.002.jpg
case_images: fig2
case_images: A CT angiogram of the left lower extremity was performed for increasing swelling which revealed a large soft tissue hematoma along the left hemipelvis and upper thigh with active extravasation likely emanating from a small branch of the left profunda femoris (focus of contrast blush) (Figures 1 and 2).
case_images: Left lower extremity angiogram demonstrates an area of contrast extravasation arising from a peripheral deep femoral branch.
case_images: CRIEM2017-8079674.003.jpg
case_images: PMC5299186_01_CRIEM2017-8079674.003.jpg
case_images: fig3
case_images: Digital angiography was performed and a site of extravasation was noted within a small peripheral branch of the profunda (Figures 3 and 4).
case_images: Selective catheterization confirmed the supply to the bleeding vessel.
case_images: CRIEM2017-8079674.004.jpg
case_images: PMC5299186_01_CRIEM2017-8079674.004.jpg
case_images: fig4
case_images: Digital angiography was performed and a site of extravasation was noted within a small peripheral branch of the profunda (Figures 3 and 4).
case_images: Postembolization angiogram confirms that hemostasis has been achieved.
case_images: CRIEM2017-8079674.005.jpg
case_images: PMC5299186_01_CRIEM2017-8079674.005.jpg
case_images: fig5
case_images: Repeat angiography demonstrated successful embolization and no further extravasation (Figure 5).
case_images: PMC5299186_02
case_images: Contrast enhanced CT demonstrates an area of active extravasation and surrounding hematoma.
case_images: CRIEM2017-8079674.006.jpg
case_images: PMC5299186_02_CRIEM2017-8079674.006.jpg
case_images: fig6
case_images: Abdomen/pelvis CT demonstrated a moderate size hematoma that was overlying the right hip with a 5 mm contrast blush suggesting active bleeding (Figures 6 and 7).
case_images: Coronal CT reconstructed images further detail the area of active extravasation and surrounding hematoma.
case_images: CRIEM2017-8079674.007.jpg
case_images: PMC5299186_02_CRIEM2017-8079674.007.jpg
case_images: fig7
case_images: Abdomen/pelvis CT demonstrated a moderate size hematoma that was overlying the right hip with a 5 mm contrast blush suggesting active bleeding (Figures 6 and 7).
case_images: Right lower extremity angiogram demonstrates vague area of extravasation.
case_images: CRIEM2017-8079674.008.jpg
case_images: PMC5299186_02_CRIEM2017-8079674.008.jpg
case_images: fig8
case_images: The 5-French catheter was then positioned within the right external iliac artery and an area of active arterial extravasation and pseudoaneurysm formation was noted to be originating from the subsegmental transverse branch of lateral circumflex femoral branch of the right profunda femoris artery (Figures 8 and 9).
case_images: Selective deep femoral branch arteriogram further details the area of active bleeding.
case_images: CRIEM2017-8079674.009.jpg
case_images: PMC5299186_02_CRIEM2017-8079674.009.jpg
case_images: fig9
case_images: The 5-French catheter was then positioned within the right external iliac artery and an area of active arterial extravasation and pseudoaneurysm formation was noted to be originating from the subsegmental transverse branch of lateral circumflex femoral branch of the right profunda femoris artery (Figures 8 and 9).
case_images: Postembolization arteriogram confirms successful hemostasis.
case_images: CRIEM2017-8079674.010.jpg
case_images: PMC5299186_02_CRIEM2017-8079674.010.jpg
case_images: fig10
case_images: No further active arterial extravasation was noted after repeat angiogram (Figure 10), all catheters were withdrawn, and a 5F Mynx vascular closure device was deployed.