International Journal of Clinical & Medical Images

Clinical Image

A 57-year-old male was presented to the hospital for a falling-down event. He had a history of multiple myeloma. Laboratory studies demonstrated hemoglobin of 5.9 g/dL, platelet of 102 × 103 /mm3 , activated partial thromboplastin time of 39.6 seconds, and remarkable prothrombin time prolongation (sample not coagulated). Computed tomography (CT) showed multiple fractures of pelvis and hematoma with active bleeding at the abdominal wall. Angiography and transarterial embolization were performed subsequently, with a vascular sheath inserted into left common femoral artery. The sheath was removed 2 days after the procedure. However, acute agitation and scrotal swelling were noted 2 days after sheath removal (Figure 1). CT showed active bleeding at left inguinal region with a hematoma extending to the scrotum (Figure 2, arrows and arrowheads). Surgical repair of common femoral artery was performed successfully. The patient was then transferred to the intensive care unit and his clinical condition was stabilized.

Keywords: Computed tomography; Hematoma; Kiwi bird