Korean J Nephrol.  2004 Nov;23(6):992-996.

Spontaneous Rupture of Lumbar Artery & Inferior Epigastric Artery in a Hemodialysis Patient

Affiliations
  • 1Department of Internal Medicine, College of Medicine, University of Ulsan, Seoul, Korea. skpark@amc.seoul.kr
  • 2Department of Diagnostic Radiology, College of Medicine, University of Ulsan, Seoul, Korea.

Abstract

We report a case of retroperitoneal hemorrhage and abdominal wall hemorrhage due to spontaneous lumbar artery and inferior epigastric artery rupture, in a patient with chronic renal failure treated with hemodialysis. There was no history of specific trauma. The bleeding was confirmed by CT and angiography, and controlled successfully by selective angiographic embolization. We suggest that a possibility of spontaneous retroperitoneal bleeding should be considered in a case of abdominal pain or mass in a hemodialysis patient.

Keyword

Retroperitoneal hematoma; Abdominal wall hematoma; Lumbar artery; Inferior epigastric artery; Spontaneous bleeding; Chronic renal failure; Hemodialysis

MeSH Terms

Abdominal Pain
Abdominal Wall
Angiography
Arteries*
Epigastric Arteries*
Hemorrhage
Humans
Kidney Failure, Chronic
Renal Dialysis*
Rupture
Rupture, Spontaneous*
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