Successful treatment by selective arterial embolization of severe retroperitoneal hemorrhage secondary to bone marrow biopsy in post-polycythemic myelofibrosis

Arellano‐Rodrigo, Eduardo; Real, M. Isabel; Muntañola, A.; Burrel, Marta; Rozman, Marı́a; Fraire, G. V.; Cervantes, Francisco

doi:10.1007/s00277-003-0683-4

Cited by 36 publications

(17 citation statements)

References 17 publications

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“…If a patient is unfortunate enough to suffer a retroperitoneal haemorrhage, embolisation of a bleeding vessel may obviate the need for hazardous surgery. 4 ''Haematologists need to be aware of the various ways of minimising risks and of dealing with adverse events when they occur''…”

Section: Discussionmentioning

confidence: 99%

Bone marrow biopsy morbidity: review of 2003: Table 1

2005

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Background:Although some hazards are recognised, in general, bone marrow aspiration and trephine biopsy are thought to be safe procedures. Until recently, no attempt had been made to quantify any attendant risks. For this reason, documentation of adverse events was begun in 2001, under the auspices of the British Society for Haematology. Three consecutive years have now been surveyed, the results for 2003 being presented here and compared with earlier results.Methods:Members of the British Society of Haematology were requested to document adverse events associated with diagnostic bone marrow aspirates and trephine biopsies between 1 January and 31 December, 2003. Data were collected early in 2004.Results:In total, 19 259 procedures were reported from 63 hospitals, 13 147 being combined procedures and 6112 aspirates without a trephine biopsy. Sixteen adverse events were reported, representing 0.08% of total reported procedures. The major adverse event was haemorrhage, which comprised 11 of the 16 adverse events. Although infrequent, adverse events were associated with significant morbidity and three were judged as very serious. The major risk factors for haemorrhage, in order of frequency, were diagnosis of a myeloproliferative disorder, aspirin treatment, other putative platelet dysfunctions, and thrombocytopenia.Conclusions:Adverse events following trephine biopsies and bone marrow aspirates are rare, but nevertheless can have considerable impact on individual patients.

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Section: Discussionmentioning

confidence: 99%

Bone marrow biopsy morbidity: review of 2003: Table 1

2005

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“…Antibiotic administration could have contributed to the positive outcome of the patient. However, we should bear in mind that buttock haematomas are commonly less serious than the retroperitoneal haemorrhage which could require surgical intervention 5 and could lead to death as reported earlier. 1 …”

Section: Discussionmentioning

confidence: 80%

Haematoma Caused by Bone Marrow Aspiration and Trephine Biopsy

et al. 2011

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“…described a case report of a massive retroperitoneal hematoma secondary to injury of the circumflex iliac artery after a bone marrow biopsy. This was successfully embolized using polyvinyl alcohol particles and one coil [1]. Luoni et al .…”

Section: Discussionmentioning

confidence: 99%

Median sacral artery injury following a bone marrow biopsy successfully treated with selective trans-arterial embolization: a case report

Zahrani

Peck

2016

J Med Case Reports

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BackgroundIatrogenic arterial injury during bone marrow biopsy is an extremely rare complication. We present unreported complication of median sacral artery injury that was managed successfully with endovascular treatment.Case presentationA 22-year-old Caucasian man known to have end-stage renal disease secondary to Senior-Loken syndrome presented with anemia. He underwent an investigation with bone marrow biopsy that was complicated by hypotension and a further significant drop in his hemoglobin level. Cross-sectional imaging with computed tomography demonstrated a large abdominopelvic retroperitoneal hematoma and active bleeding of the median sacral artery. A successful lifesaving endovascular trans-arterial embolization was performed on an emergency basis and our patient was discharged in a stable condition a few days later.ConclusionIatrogenic arterial injury after a bone marrow biopsy is extremely rare. To the best of our knowledge, a median sacral artery injury has not been previously reported. Endovascular trans-arterial embolization is a safe, effective, and minimally invasive therapeutic option.

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Successful treatment by selective arterial embolization of severe retroperitoneal hemorrhage secondary to bone marrow biopsy in post-polycythemic myelofibrosis

Cited by 36 publications

References 17 publications

Bone marrow biopsy morbidity: review of 2003: Table 1

Bone marrow biopsy morbidity: review of 2003: Table 1

Haematoma Caused by Bone Marrow Aspiration and Trephine Biopsy

Median sacral artery injury following a bone marrow biopsy successfully treated with selective trans-arterial embolization: a case report

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