alexa Case report: lumbar artery bleeding as a complication of percutaneous nephrostomy in a patient with coagulopathy


Medical & Surgical Urology

Author(s): Chan PN, Wong KT, Lee SF, Yu SC

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A case of severe lumbar artery bleeding as a complication of percutaneous nephrostomy (PCN) is presented. A 70-year-old man with coagulation disorder (factor VIII deficiency) underwent left PCN because of left hydronephrosis and abnormal renal function. The procedure was complicated by a major haemorrhage from the left first lumbar artery into the left posterior pararenal space. This case illustrates bleeding from the lumbar artery in a patient with coagulation disorder resulting in a fatal outcome. CT can provide the diagnosis, while angiography with embolisation is an effective means to control the bleeding. These examinations should be performed as soon as possible.

This article was published in Br J Radiol and referenced in Medical & Surgical Urology

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