title: Abdominal wall hemorrhage after intravenous thrombolysis for acute ischemic stroke.
abstract: BACKGROUND
  Thrombolysis is strongly recommended for patients with significant neurologic deficits secondary to acute ischemic stroke. Extracranial bleeding is a rare but major complication of thrombolysis.
  
  
  METHODS
  A 78-year-old woman presented with acute ischemic stroke caused by occlusion of the basilar artery. Clinical recovery was observed after successful recanalization by intravenous thrombolysis and intraarterial thrombectomy. However, the patient complained of sudden abdominal pain following the intervention and a newly developed abdominal wall mass was found. CT scan and selective angiography confirmed active bleeding from the left epigastric artery into the abdominal muscle layer and the bleeding was successfully managed by selective embolization of the bleeding artery.
  
  
  CONCLUSIONS
  We report a rare case of abdominal wall hemorrhage after thrombolysis for acute ischemic stroke. The findings indicate that abdominal wall hemorrhage should be considered as a differential diagnosis in the presence of abdominal discomfort after thrombolysis for acute ischemic stroke.
authors: Department of Neurology, CHA Bundang Medical Center, CHA University, 59 Yatap-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, 463-712, Korea.
authors: Se-A
authors: SA
authors: An
authors: Jinkwon
authors: J
authors: Kim
authors: Sang Heum
authors: SH
authors: Kim
authors: Won Chan
authors: WC
authors: Kim
mesh_terms: D034861:Abdominal Wall / Q000473:pathology*; D061605:Administration, Intravenous / Q000009:adverse effects; D000368:Aged; D002545:Brain Ischemia / Q000150:complications; D017023:Coronary Angiography; D005260:Female; D005343:Fibrinolytic Agents / Q000009:adverse effects*; D006470:Hemorrhage / Q000139:chemically induced* / Q000473:pathology; D006493:Heparin / Q000009:adverse effects*; D006801:Humans; D020521:Stroke / Q000188:drug therapy* / Q000209:etiology; D014057:Tomography, X-Ray Computed
chemical_list: D005343:Fibrinolytic Agents; D006493:Heparin