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 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. - In: INTERNAL MEDICINE. - ISSN 0918-2918. - 56:19(2017), pp. 2639-2643. [10.2169/internalmedicine.8195-16]
The Endovascular Management of an Iatrogenic Superior Gluteal Artery Rupture Following Bone Marrow Biopsy
DE GREGORIO, CLAUDIA;PADRICELLI, ANDREA;BRACALE, UMBERTO;FERRARA, DORIANA;DEL GUERCIO, LUCA;BRACALE, UMBERTO MARCELLO
2017
Abstract
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.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
