Fatal peritoneal bleeding following embolization of a carotid-cavernous fistula in Ehlers-Danlos syndrome type IV.
We report the case of a 25-year-old woman treated for a spontaneous carotid-cavernous fistula in a context of Ehlers-Danlos syndrome type IV. Embolization with a transvenous approach was achieved without complications; however, the patient died 72 hr later of massive intraperitoneal bleeding. At autopsy, no lesion of the digestive arteries was identified. Possible causes of this bleeding are discussed.
Usinskiene
Jurgita
J
Department of Neuroradiology, Hôpital Lariboisière, 2 rue Ambroise Paré, 75010, Paris, France.
Mazighi
Mikael
M
Bisdorff
Annouk
A
Houdart
Emmanuel
E
D000328:Adult; D000792:Angiography; D020216:Carotid-Cavernous Sinus Fistula / Q000628:therapy*; D004535:Ehlers-Danlos Syndrome / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D017809:Fatal Outcome; D005260:Female; D006465:Hemoperitoneum / Q000209:etiology* / Q000473:pathology; D006801:Humans; D019106:Postoperative Hemorrhage / Q000209:etiology* / Q000473:pathology