Case report: lumbar artery bleeding as a complication of percutaneous nephrostomy in a patient with coagulopathy.
A case of severe lumbar artery bleeding as a complication of percutaneous nephrostomy (PCN) is presented. A 70-year-old man with coagulation disorder (factor VIII deficiency) underwent left PCN because of left hydronephrosis and abnormal renal function. The procedure was complicated by a major haemorrhage from the left first lumbar artery into the left posterior pararenal space. This case illustrates bleeding from the lumbar artery in a patient with coagulation disorder resulting in a fatal outcome. CT can provide the diagnosis, while angiography with embolisation is an effective means to control the bleeding. These examinations should be performed as soon as possible.
Department of Diagnostic Radiology and Organ Imaging, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, NT, Hong Kong.
P N
PN
Chan
K T
KT
Wong
S F
SF
Lee
S C H
SC
Yu
D000368:Aged; D001158:Arteries / Q000293:injuries; D006467:Hemophilia A / Q000150:complications*; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008161:Lumbosacral Region / Q000098:blood supply*; D008297:Male; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects*; D013122:Spinal Diseases / Q000209:etiology*; D014057:Tomography, X-Ray Computed