# Serious Scrotal Hematoma Due to Injury of Inferior Epigastric Artery: A Rare Complication of Femoral Puncture

## TL;DR

A rare case of scrotal hematoma occurred due to accidental injury of the inferior epigastric artery during a femoral puncture procedure.

## Contribution

This case highlights a rare complication of femoral puncture and emphasizes the importance of understanding inguinal anatomy.

## Key findings

- A 50-year-old man developed a scrotal hematoma after catheter ablation due to injury of the inferior epigastric artery.
- Computed tomography confirmed extravasation from the artery, and embolization was used to manage the bleeding.
- The case underscores the risk of high femoral punctures and the need for anatomical awareness.

## Abstract

The inferior epigastric artery branches from the external iliac artery just above the inguinal ligament. A 50-year-old man presented with scrotal swelling after catheter ablation, and a computed tomography scan revealed a scrotal hematoma and extravasation from the inferior epigastric artery. Emergent coil embolization was performed, and the scrotal hematoma was managed conservatively. Accidental puncture of the inferior epigastric artery during femoral vein puncture may result in a scrotal hematoma because of bleeding through the inguinal canal. It is important to understand the anatomy around the inguinal region to prevent a high puncture.