HEMORRHAGE FROM ABDOMINAL NON-HODGKINS-LYMPHOMA TREATED SUCCESSFULLY BY EMERGENCY TRANSCATHETER ARTERIAL EMBOLIZATION

A 49-year-old Japanese woman with follicular lymphoma who presented wi th severe abdominal and back pain is reported, She was known to have m alignant lymphoma and had been previously treated with combination che motherapy, An abdominal tumor occurring at the root of the mesentery a nd involving the superior mesenteric artery (SMA) had been diagnosed b y computed tomography (CT), magnetic resonance imaging, and abdominal angiography, Emergent ultrasonography and CT findings showed intraperi toneal bleeding from the abdominal tumor, Selective SMA angiography re vealed extravasation from a small branch originating from the dorsal p ancreatic artery, which was embolized through a catheter by using plat inum coils. It should be noted that a large tumor of malignant lymphom a, involving large vessels, may bleed, and in such a case selective tr anscatheter arterial embolization may be one of the effective modaliti es for hemostasis. (C) 1996 Wiley-Liss, Inc.