The Endovascular Management of an Iatrogenic Superior Gluteal Artery Rupture Following Bone Marrow Biopsy

Claudia De Gregorio; Flavia Spalla; Andrea Padricelli; Donatella Narese; Umberto Bracale; Doriana Ferrara; Luca del Guercio; Umberto Marcello Bracale

doi:10.2169/internalmedicine.8195-16

CASE REPORTS

The Endovascular Management of an Iatrogenic Superior Gluteal Artery Rupture Following Bone Marrow Biopsy

Claudia De Gregorio, Flavia Spalla, Andrea Padricelli, Donatella Narese, Umberto Bracale, Doriana Ferrara, Luca del Guercio, Umberto Marcello Bracale

Author information

Claudia De Gregorio
Department of Vascular and Endovascular Surgery, University Federico II of Naples, Italy
Flavia Spalla
Department of Vascular and Endovascular Surgery, University Federico II of Naples, Italy
Andrea Padricelli
Department of Vascular and Endovascular Surgery, University Federico II of Naples, Italy
Donatella Narese
Department of Radiology, DIBIMED, University of Palermo, Italy
Umberto Bracale
Department of General Surgery, University Federico II of Naples, Italy
Doriana Ferrara
Department of Vascular and Endovascular Surgery, University Federico II of Naples, Italy
Luca del Guercio
Department of Vascular and Endovascular Surgery, University Federico II of Naples, Italy
Umberto Marcello Bracale
Department of Vascular and Endovascular Surgery, University Federico II of Naples, Italy

Keywords: bone marrow biopsy, superior gluteal artery, iatrogenic complication, endovascular treatment

JOURNAL OPEN ACCESS

2017 Volume 56 Issue 19 Pages 2639-2643

DOI https://doi.org/10.2169/internalmedicine.8195-16

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Abstract

We herein report an uncommon case of a life-threatening retroperitoneal hematoma after a bone marrow biopsy. Two hours after iliac crest bone harvesting, the patient experienced syncope and severe hypotension. Urgent contrast-enhanced computed tomography demonstrated extravasation from the superior gluteal artery. Transcatheter coil embolization was performed successfully, without complications. Life-threatening complications caused by retroperitoneal bleeding after bone marrow biopsy are very rare. There are few reports on the use of endovascular treatment in the management of life-threatening hemorrhagic complications after bone marrow biopsy.

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