Spontaneous Lumbar Artery Bleeding and Retroperitoneal Hematoma in a Patient Treated with Continuous Renal Replacement Therapy
10.4266/kjccm.2015.30.4.318
- Author:
Jin Kyung PARK
1
;
Sung Ho KIM
;
Hee Jin KIM
;
Duk Hyun LEE
Author Information
1. Department of Internal Medicine, Daegu Fatima Hospital, Daegu, Korea. dhlee@fatima.or.kr
- Publication Type:Case Report
- Keywords:
anticoagulation;
chronic kidney disease;
continuous renal replacement therapy;
spontaneous bleeding
- MeSH:
Aged;
Angiography;
Arteries;
Hematoma;
Hemorrhage;
Humans;
Renal Insufficiency, Chronic;
Renal Replacement Therapy;
Rupture;
Rupture, Spontaneous
- From:The Korean Journal of Critical Care Medicine
2015;30(4):318-322
- CountryRepublic of Korea
- Language:English
-
Abstract:
Rupture of the lumbar artery is usually associated with trauma but rarely has been reported in association with anticoagulation. We present a 71-year-old man who developed spontaneous rupture of the lumbar artery leading to a retroperitoneal hematoma while receiving continuous renal replacement therapy (CRRT). The bleeding was confirmed by computed tomography and angiography and was controlled successfully using selective angiographic embolization. We suggest that spontaneous retroperitoneal bleeding should be considered in a case of sudden decrease in hemoglobin in a CRRT patient.
