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Life-threatening intra-abdominal hemorrhage from left superior colonic artery pseudoaneurysm after percutaneous renal biopsy: successful treatment with superselective arterial embolization

  • Yann Fargeaudou
    Affiliations
    Department of Abdominal and Interventional Imaging, Hôpital Lariboisière-AP-HP-GHU Nord and Diderot-Paris 7 University, 2, rue Ambroise Paré, 75475 Paris cedex 10, France
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  • Olivier le Dref
    Affiliations
    Department of Abdominal and Interventional Imaging, Hôpital Lariboisière-AP-HP-GHU Nord and Diderot-Paris 7 University, 2, rue Ambroise Paré, 75475 Paris cedex 10, France
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  • Philippe Soyer
    Correspondence
    Corresponding author. Tel.: +33 011 33 149 958 484; fax: +33 011 33 149 958 546.
    Affiliations
    Department of Abdominal and Interventional Imaging, Hôpital Lariboisière-AP-HP-GHU Nord and Diderot-Paris 7 University, 2, rue Ambroise Paré, 75475 Paris cedex 10, France
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  • Pramod Rao
    Affiliations
    Department of Abdominal and Interventional Imaging, Hôpital Lariboisière-AP-HP-GHU Nord and Diderot-Paris 7 University, 2, rue Ambroise Paré, 75475 Paris cedex 10, France
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  • Mourad Boudiaf
    Affiliations
    Department of Abdominal and Interventional Imaging, Hôpital Lariboisière-AP-HP-GHU Nord and Diderot-Paris 7 University, 2, rue Ambroise Paré, 75475 Paris cedex 10, France
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  • Marc Sirol
    Affiliations
    Department of Abdominal and Interventional Imaging, Hôpital Lariboisière-AP-HP-GHU Nord and Diderot-Paris 7 University, 2, rue Ambroise Paré, 75475 Paris cedex 10, France
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  • Henri Dahan
    Affiliations
    Department of Abdominal and Interventional Imaging, Hôpital Lariboisière-AP-HP-GHU Nord and Diderot-Paris 7 University, 2, rue Ambroise Paré, 75475 Paris cedex 10, France
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  • Lounis Hamzi
    Affiliations
    Department of Abdominal and Interventional Imaging, Hôpital Lariboisière-AP-HP-GHU Nord and Diderot-Paris 7 University, 2, rue Ambroise Paré, 75475 Paris cedex 10, France
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  • Roland Rymer
    Affiliations
    Department of Abdominal and Interventional Imaging, Hôpital Lariboisière-AP-HP-GHU Nord and Diderot-Paris 7 University, 2, rue Ambroise Paré, 75475 Paris cedex 10, France
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      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.

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      References

        • Wall B
        • Keller F
        • Spalding DM
        • Reif MC
        Massive hemorrhage from lumbar artery following renal biopsy.
        Am J Kidney Dis. 1986; 7: 250-253
        • Katopodis KP
        • Kastios CG
        • Koliousi EL
        • Nastos DS
        • Siamopoulos KC
        Life-threatening hemorrhage from abdominal aorta following a percutaneous renal biopsy.
        Clin Nephrol. 2006; 65: 446-448
        • Galloway DC
        • Tytle T
        Laceration of a mesenteric artery: unusual complication of percutaneous renal biopsy.
        South Med J. 1980; 73: 1413-1414
        • Evangelista PT
        • Hallisey MJ
        Transcatheter embolization for acute lower gastrointestinal hemorrhage.
        J Vasc Interv Radiol. 2000; 11: 601-606
        • Asayama Y
        • Matsumoto S
        • Isoda T
        • Kunitake N
        • Nakashima H
        A case of traumatic mesenteric bleeding controlled by only transcatheter arterial embolization.
        Cardiovasc Intervent Radiol. 2005; 28: 256-258
        • Gordon RL
        • Ahl KL
        • Kerlan RK
        • et al.
        Selective arterial embolization for the control of lower gastrointestinal bleeding.
        Am J Surg. 1997; 174: 24-28
        • Ledermann HP
        • Schoch E
        • Jost R
        • Zollikofer CL
        Embolization of the vasa recta in acute lower gastrointestinal hemorrhage: a report of five cases.
        Cardiovasc Intervent Radiol. 1999; 22: 315-320
        • Funaki B
        • Kostelic JK
        • Lorenz J
        • et al.
        Superselective microcoil embolization of colonic hemorrhage.
        AJR Am J Roentgenol. 2001; 177: 829-836
        • Korbet SM
        Percutaneous renal biopsy.
        Semin Nephrol. 2002; 22: 254-267
        • Otal P
        • Auriol J
        • Chabbert V
        • et al.
        Interventional radiology and thoraco-abdomino-pelvic trauma.
        J Radiol. 2008; 89 ([in French]): 1855-1870
        • Ross J
        Vascular patterns of small and large intestine compared.
        Br J Surg. 1952; 39: 330-333
        • Griffiths JD
        Extramural and intramural blood-supply of colon.
        Br Med J. 1961; 4: 323-326
        • Kuo WT
        • Lee D
        • Saad W
        • Patel N
        • Sahler LG
        • Waldman DL
        Superselective microcoil embolization for the treatment of lower gastrointestinal hemorrhage.
        J Vasc Interv Radiol. 2003; 14: 1503-1509