Korean Journal of Nephrology  2004;23(6):992-996

Spontaneous Rupture of Lumbar Artery & Inferior Epigastric Artery in a Hemodialysis Patient.

Sung Hee PYO 1 ; Jang Won SEO ; Jong Ha PARK ; Kyu Pyo KIM ; Sang Hyun KIM ; Jai Won CHANG ; Kyu Bo SUNG ; Su Kil PARK

Affiliations

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Keywords

Retroperitoneal hematoma; Abdominal wall hematoma; Lumbar artery; Inferior epigastric artery; Spontaneous bleeding; Chronic renal failure; Hemodialysis

Country

Republic of Korea

Language

Korean

Abstract

We report a case of retroperitoneal hemorrhage and abdominal wall hemorrhage due to spontaneous lumbar artery and inferior epigastric artery rupture, in a patient with chronic renal failure treated with hemodialysis. There was no history of specific trauma. The bleeding was confirmed by CT and angiography, and controlled successfully by selective angiographic embolization. We suggest that a possibility of spontaneous retroperitoneal bleeding should be considered in a case of abdominal pain or mass in a hemodialysis patient.