Internal iliac artery embolisation for intractable bladder haemorrhage in the peri-operative phase.
Intractable haemorrhage from the bladder wall during transurethral resection of bladder tumour is uncommon but potentially catastrophic. Internal iliac artery embolisation is a minimally invasive technique, which is now widely practised to stop bleeding from branches of these arteries is situations including pelvic malignancy, obstetric and gynaecological emergencies and trauma. We report its successful use peri-operatively, in an unfit, elderly patient with uncontrolled bleeding.
Gujral
S
S
Department of Urology, Bristol Royal Infirmary, UK.
Bell
R
R
Kabala
J
J
Persad
R
R
D000368:Aged; D016063:Blood Loss, Surgical; D002295:Carcinoma, Transitional Cell / Q000601:surgery*; D004621:Embolization, Therapeutic / Q000379:methods*; D006470:Hemorrhage / Q000628:therapy*; D006801:Humans; D007083:Iliac Artery; D007431:Intraoperative Complications / Q000628:therapy*; D008297:Male; D011468:Prostatectomy / Q000379:methods; D001743:Urinary Bladder / Q000098:blood supply*; D001749:Urinary Bladder Neoplasms / Q000601:surgery*