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Iatrogenic pseudoaneurysm after bone biopsy managed with endovascular coil embolisation
Taraprasad Tripathy1, Ranjan Kumar Patel2, Adarsh Kumar Mohapatra3
1Radiodiagnosis, AIIMS Bhubaneswar, Bhubaneswar, Odisha, India taraprasad.mkcg@gmail.com.
BMJ Case Reports
|September 16, 2024
Summary
Bone marrow biopsy can rarely cause pelvic hematoma from internal iliac artery injury. Urgent endovascular embolization effectively stopped the bleeding in this case.
Area of Science:
- Hematology
- Vascular Surgery
- Interventional Radiology
Background:
- Bone marrow biopsy (BMB) is a standard diagnostic procedure.
- Posterior superior iliac crest is the preferred biopsy site.
- Hemorrhagic complications, particularly in patients with coagulopathy, are rare but serious risks of BMB.
Observation:
- A case of pelvic hematoma following a bone marrow biopsy is presented.
- The complication arose from an injury to the right internal iliac artery.
- The patient had coagulopathy, increasing the risk of bleeding.
Findings:
- Urgent endovascular embolization was performed to manage the pelvic hematoma.
- The embolization procedure successfully controlled the bleeding from the injured internal iliac artery.
- The patient's condition stabilized after the intervention.
Implications:
- This case highlights a rare but significant complication of bone marrow biopsy.
- Endovascular embolization is an effective treatment for managing arterial bleeding complications post-BMB.
- Awareness of this complication and prompt interventional management are crucial for patient outcomes.
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