The Korean journal of internal medicine

The Korean Association of Internal Medicine (대한내과학회)
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Transcatheter Arterial Embolization as Treatment for a Life-Threatening Retroperitoneal Hemorrhage Complicating Heparin Therapy

  • Park, Sang-Ho (Department of Internal Medicine, Soonchunghyang University Cheonan Hospital) ;
  • Lee, Se-Whan (Department of Internal Medicine, Soonchunghyang University Cheonan Hospital) ;
  • Jeon, Ung (Department of Internal Medicine, Soonchunghyang University Cheonan Hospital) ;
  • Jeon, Min-Hyeok (Department of Internal Medicine, Soonchunghyang University Cheonan Hospital) ;
  • Lee, Seung-Jin (Department of Internal Medicine, Soonchunghyang University Cheonan Hospital) ;
  • Shin, Won-Yong (Department of Internal Medicine, Soonchunghyang University Cheonan Hospital) ;
  • Jin, Dong-Kyu (Department of Internal Medicine, Soonchunghyang University Cheonan Hospital)
  • Published : 2011.09.01
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Abstract

Spontaneous retroperitoneal hemorrhage is a distinct clinical entity that can present in the absence of specific underlying pathology or trauma and is typically associated with anticoagulation therapy. We report a case of a 74-year-old female patient with a cerebral infarction related to atrial fibrillation who developed a spontaneous lumbar arterial hemorrhage complicating heparin therapy. The diagnosis was suggested by a computed tomography scan and confirmed by angiography. She was treated successfully with transcatheter embolization.

Keywords

References

  1. Ellis MH, Hadari R, Tchuvrero N, et al. Hemorrhagic complications in patients treated with anticoagulant doses of a low molecular weight heparin (enoxaparin) in routine hospital practice. Clin Appl Thromb Hemost 2006;12:199-204. https://doi.org/10.1177/107602960601200208
  2. Landefeld CS, Beyth RJ. Anticoagulant-related bleeding: clinical epidemiology, prediction, and prevention. Am J Med 1993;95:315-328. https://doi.org/10.1016/0002-9343(93)90285-W
  3. Pathi R, Voyvodic F, Thompson WR. Spontaneous extraperitoneal haemorrhage: computed tomography diagnosis and treatment by selective arterial embolization. Australas Radiol 2004;48:123-128. https://doi.org/10.1111/j.1440-1673.2004.01271.x
  4. Isokangas JM, Perala JM. Endovascular embolization of spontaneous retroperitoneal hemorrhage secondary to anticoagulant treatment. Cardiovasc Intervent Radiol 2004;27:607-611. https://doi.org/10.1007/s00270-004-0219-x
  5. Torres GM, Cernigliaro JG, Abbitt PL, et al. Iliopsoas compartment: normal anatomy and pathologic processes. Radiographics 1995;15:1285-1297. https://doi.org/10.1148/radiographics.15.6.8577956
  6. Zissin R, Ellis M, Gayer G. The CT findings of abdominal anticoagulant-related hematomas. Semin Ultrasound CT MR 2006;27:117-125. https://doi.org/10.1053/j.sult.2006.01.008
  7. Velmahos GC, Toutouzas KG, Vassiliu P, et al. A prospective study on the safety and efficacy of angiographic embolization for pelvic and visceral injuries. J Trauma 2002;53:303-308. https://doi.org/10.1097/00005373-200208000-00019
  8. Choo IW, Sproat IA, Cho KJ. Transcatheter embolization of the marginal artery of Drummond as treatment for life-threatening retroperitoneal hemorrhage complicating heparin therapy. Cardiovasc Intervent Radiol 1994;17:161-163.
  9. Kalinowski EA, Trerotola SO. Postcatheterization retroperitoneal hematoma due to spontaneous lumbar arterial hemorrhage. Cardiovasc Intervent Radiol 1998;21:337-339. https://doi.org/10.1007/s002709900272
  10. Zissin R, Gayer G, Kots E, Ellis M, Bartal G, Griton I. Transcatheter arterial embolisation in anticoagulant-related haematoma--a current therapeutic option: a report of four patients and review of the literature. Int J Clin Pract 2007;61:1321-1327. https://doi.org/10.1111/j.1742-1241.2006.01207.x

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