Transcatheter arterial embolization as treatment for a life-threatening retroperitoneal hemorrhage complicating heparin therapy.
Spontaneous retroperitoneal hemorrhage is a distinct clinical entity that can present in the absence of specific underlying pathology or trauma and is typically associated with anticoagulation therapy. We report a case of a 74-year-old female patient with a cerebral infarction related to atrial fibrillation who developed a spontaneous lumbar arterial hemorrhage complicating heparin therapy. The diagnosis was suggested by a computed tomography scan and confirmed by angiography. She was treated successfully with transcatheter embolization.
Department of Internal Medicine, Soonchunghyang University Cheonan Hospital, Cheonan, Korea.
Sang-Ho
SH
Park
Se-Whan
SW
Lee
Ung
U
Jeon
Min-Hyeok
MH
Jeon
Seung-Jin
SJ
Lee
Won-Yong
WY
Shin
Dong-Kyu
DK
Jin
D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects*; D004621:Embolization, Therapeutic; D005260:Female; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006493:Heparin / Q000009:adverse effects*; D006801:Humans; D008159:Lumbar Vertebrae / Q000098:blood supply*; D012187:Retroperitoneal Space; D013812:Therapeutics; D014057:Tomography, X-Ray Computed
D000925:Anticoagulants; D006493:Heparin