Postcatheterization retroperitoneal hematoma due to spontaneous lumbar arterial hemorrhage.
A patient developed retroperitoneal hemorrhage after cardiac catheterization, initially thought to be a complication of the puncture. Diagnostic evaluation revealed the source to be spontaneous bleeding from a lumber artery, which was successfully embolized. Spontaneous hemorrhage is a recognized complication of anticoagulation therapy and must be considered in the differential diagnosis even in the face of a seemingly obvious source of bleeding.
Department of Medical Education, St. Vincent Hospital, 2001 W. 86 Street, and Indiana University School of Medicine, Indianapolis, IN 46260-1991, USA.
E A
EA
Kalinowski
S O
SO
Trerotola
D006328:Cardiac Catheterization / Q000009:adverse effects*; D003937:Diagnosis, Differential; D018572:Disease-Free Survival; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D006333:Heart Failure / Q000175:diagnosis; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006465:Hemoperitoneum / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging*; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D011859:Radiography; D012422:Rupture, Spontaneous