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.
Chan
P N
PN
Department of Diagnostic Radiology and Organ Imaging, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, NT, Hong Kong.
Wong
K T
KT
Lee
S F
SF
Yu
S C H
SC
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