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

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...

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Autores principales: De Gregorio, Claudia, Spalla, Flavia, Padricelli, Andrea, Narese, Donatella, Bracale, Umberto, Ferrara, Doriana, del Guercio, Luca, Bracale, Umberto Marcello
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5658532/
https://www.ncbi.nlm.nih.gov/pubmed/28883230
http://dx.doi.org/10.2169/internalmedicine.8195-16
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author De Gregorio, Claudia
Spalla, Flavia
Padricelli, Andrea
Narese, Donatella
Bracale, Umberto
Ferrara, Doriana
del Guercio, Luca
Bracale, Umberto Marcello
author_facet De Gregorio, Claudia
Spalla, Flavia
Padricelli, Andrea
Narese, Donatella
Bracale, Umberto
Ferrara, Doriana
del Guercio, Luca
Bracale, Umberto Marcello
author_sort De Gregorio, Claudia
collection PubMed
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.
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spelling pubmed-56585322017-10-27 The Endovascular Management of an Iatrogenic Superior Gluteal Artery Rupture Following Bone Marrow Biopsy De Gregorio, Claudia Spalla, Flavia Padricelli, Andrea Narese, Donatella Bracale, Umberto Ferrara, Doriana del Guercio, Luca Bracale, Umberto Marcello Intern Med Case Report 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. The Japanese Society of Internal Medicine 2017-09-06 2017-10-01 /pmc/articles/PMC5658532/ /pubmed/28883230 http://dx.doi.org/10.2169/internalmedicine.8195-16 Text en Copyright © 2017 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
De Gregorio, Claudia
Spalla, Flavia
Padricelli, Andrea
Narese, Donatella
Bracale, Umberto
Ferrara, Doriana
del Guercio, Luca
Bracale, Umberto Marcello
The Endovascular Management of an Iatrogenic Superior Gluteal Artery Rupture Following Bone Marrow Biopsy
title The Endovascular Management of an Iatrogenic Superior Gluteal Artery Rupture Following Bone Marrow Biopsy
title_full The Endovascular Management of an Iatrogenic Superior Gluteal Artery Rupture Following Bone Marrow Biopsy
title_fullStr The Endovascular Management of an Iatrogenic Superior Gluteal Artery Rupture Following Bone Marrow Biopsy
title_full_unstemmed The Endovascular Management of an Iatrogenic Superior Gluteal Artery Rupture Following Bone Marrow Biopsy
title_short The Endovascular Management of an Iatrogenic Superior Gluteal Artery Rupture Following Bone Marrow Biopsy
title_sort endovascular management of an iatrogenic superior gluteal artery rupture following bone marrow biopsy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5658532/
https://www.ncbi.nlm.nih.gov/pubmed/28883230
http://dx.doi.org/10.2169/internalmedicine.8195-16
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