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 Gregoriosubject
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 immunologydescription
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.
year | journal | country | edition | language |
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2017-09-01 | Internal Medicine |