An unexpected complication of bone marrow aspiration and trephine biopsy: arteriovenous fistula.
OBJECTIVE
To report a case of arteriovenous fistula (AVF) following bone marrow aspiration and trephine biopsy.


METHODS
A 76-year-old man was diagnosed with acute myeloblastic leukemia. Pain and hematoma were detected in his left leg and hip 4 days after bone marrow aspiration and trephine biopsy. A pelvic arteriography was performed, and a diagnosis of AVF was made.


CONCLUSIONS
This case shows that clinicians should be aware of AVF, especially in cases with refractory bleeding after bone marrow aspiration and trephine biopsy despite normal blood coagulation parameters.
Department of Hematology, Faculty of Medicine, Inonu University, Malatya, Turkey.
Ilhami
I
Berber
Mehmet Ali
MA
Erkurt
Irfan
I
Kuku
Emin
E
Kaya
Ramazan
R
Kutlu
Mustafa
M
Koroglu
Ali
A
Yigit
Serkan
S
Unlu
D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols; D001164:Arteriovenous Fistula / Q000209:etiology*; D001706:Biopsy / Q000009:adverse effects* / Q000379:methods*; D001853:Bone Marrow; D006801:Humans; D007083:Iliac Artery; D015470:Leukemia, Myeloid, Acute / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D018608:Ultrasonography, Doppler