Korean Journal of Critical Care Medicine  2015;30(4):318-322

doi:10.4266/kjccm.2015.30.4.318

Spontaneous Lumbar Artery Bleeding and Retroperitoneal Hematoma in a Patient Treated with Continuous Renal Replacement Therapy.

Jin Kyung PARK ; Sung Ho KIM ; Hee Jin KIM ; Duk Hyun LEE

Keywords

anticoagulation; chronic kidney disease; continuous renal replacement therapy; spontaneous bleeding

Country

Republic 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.