6533b82dfe1ef96bd129154f

RESEARCH PRODUCT

The Endovascular Management of an Iatrogenic Superior Gluteal Artery Rupture Following Bone Marrow Biopsy

Doriana FerraraDonatella NareseLuca Del GuercioAndrea PadricelliUmberto BracaleFlavia SpallaUmberto BracaleClaudia De Gregorio

subject

endovascular treatmentAdultmedicine.medical_specialtyAortic RuptureBiopsyIatrogenic DiseaseCase ReportHemorrhageiatrogenic complication030204 cardiovascular system & hematologyIliac crestIliac Artery03 medical and health sciences0302 clinical medicineBone MarrowSuperior gluteal arterymedicine.arteryBiopsyInternal MedicinemedicineHumansAorta AbdominalRetroperitoneal SpaceEndovascular treatmentCoil embolizationmedicine.diagnostic_testbusiness.industryEndovascular ProceduresGeneral MedicineEmbolization TherapeuticExtravasationSurgerymedicine.anatomical_structurebone marrow biopsyTreatment OutcomeHemorrhagic complicationsuperior gluteal arteryFemaleRadiologyBone marrowbusiness030215 immunology

description

We herein report an uncommon case of a life-threatening retroperitoneal hematoma after a bone marrow biopsy. Two hours after iliac crest bone harvesting, the patient experienced syncope and severe hypotension. Urgent contrast-enhanced computed tomography demonstrated extravasation from the superior gluteal artery. Transcatheter coil embolization was performed successfully, without complications. Life-threatening complications caused by retroperitoneal bleeding after bone marrow biopsy are very rare. There are few reports on the use of endovascular treatment in the management of life-threatening hemorrhagic complications after bone marrow biopsy.

10.2169/internalmedicine.8195-16http://europepmc.org/articles/PMC5658532