Abstract
Life-threatening intra-abdominal hemorrhage following ultrasonographically guided
percutaneous renal biopsy is extremely rare and, most of the time, is due to renal
vascular injury. Injury of other abdominal arteries during percutaneous renal biopsy
is exceedingly rare. We report herein a case of left superior colonic artery injury
during ultrasonographically guided percutaneous renal biopsy, which was responsible
for pseudoaneurysm formation and subsequent intra-abdominal hemorrhage and gastrointestinal
bleeding. Arterial pseudoaneurysm was rapidly and successfully treated with minimally
invasive endovascular treatment using microcoils. Superselective embolization stopped
the bleeding and preserved colonic vascularization, thus preventing ischemia of the
involved colonic segment.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Clinical ImagingAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Massive hemorrhage from lumbar artery following renal biopsy.Am J Kidney Dis. 1986; 7: 250-253
- Life-threatening hemorrhage from abdominal aorta following a percutaneous renal biopsy.Clin Nephrol. 2006; 65: 446-448
- Laceration of a mesenteric artery: unusual complication of percutaneous renal biopsy.South Med J. 1980; 73: 1413-1414
- Transcatheter embolization for acute lower gastrointestinal hemorrhage.J Vasc Interv Radiol. 2000; 11: 601-606
- A case of traumatic mesenteric bleeding controlled by only transcatheter arterial embolization.Cardiovasc Intervent Radiol. 2005; 28: 256-258
- Selective arterial embolization for the control of lower gastrointestinal bleeding.Am J Surg. 1997; 174: 24-28
- Embolization of the vasa recta in acute lower gastrointestinal hemorrhage: a report of five cases.Cardiovasc Intervent Radiol. 1999; 22: 315-320
- Superselective microcoil embolization of colonic hemorrhage.AJR Am J Roentgenol. 2001; 177: 829-836
- Percutaneous renal biopsy.Semin Nephrol. 2002; 22: 254-267
- Interventional radiology and thoraco-abdomino-pelvic trauma.J Radiol. 2008; 89 ([in French]): 1855-1870
- Vascular patterns of small and large intestine compared.Br J Surg. 1952; 39: 330-333
- Extramural and intramural blood-supply of colon.Br Med J. 1961; 4: 323-326
- Superselective microcoil embolization for the treatment of lower gastrointestinal hemorrhage.J Vasc Interv Radiol. 2003; 14: 1503-1509
Article info
Publication history
Published online: March 05, 2009
Accepted:
January 11,
2009
Received in revised form:
December 19,
2008
Received:
August 20,
2008
Identification
Copyright
© 2009 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
