A case of bleeding shock induced by injury of the intercostal artery following percutaneous nephrolithotripsy
Introduction The risk of postoperative bleeding complications should be concerned to perform percutaneous nephrolithotripsy. Most of the vascular injuries occurred at the peripheral renal artery in the previous reports. We experienced a case of bleeding shock induced by the injury of the intercostal...
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Wiley
2024-01-01
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Series: | IJU Case Reports |
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Online Access: | https://doi.org/10.1002/iju5.12657 |
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author | Hiroaki Kakinoki Yukako Yamaguchi Minika Yukimoto Yuka Kakinoki Kazuma Udo Shohei Tobu Go Takeshita Yoshiaki Egashira Ken Yamaguchi Mitsuru Noguchi |
author_facet | Hiroaki Kakinoki Yukako Yamaguchi Minika Yukimoto Yuka Kakinoki Kazuma Udo Shohei Tobu Go Takeshita Yoshiaki Egashira Ken Yamaguchi Mitsuru Noguchi |
author_sort | Hiroaki Kakinoki |
collection | DOAJ |
description | Introduction The risk of postoperative bleeding complications should be concerned to perform percutaneous nephrolithotripsy. Most of the vascular injuries occurred at the peripheral renal artery in the previous reports. We experienced a case of bleeding shock induced by the injury of the intercostal artery in the abdominal wall following percutaneous nephrolithotripsy. Case presentation A 56‐year‐old woman had been in the bleeding shock status on the 2nd day after percutaneous nephrolithotoripsy. Emergently, contrast‐enhanced computed tomography was performed and extravasation of contrast agents was seen in the abdominal wall. Injuries of the intercostal artery were identified in the angiography and controlled by transcatheter arterial embolization. Conclusion The intercostal arteries could be injured in the anterolateral zone of the abdominal wall over the end of the ribs. Contrast‐enhanced computed tomography was useful to detect the bleeding point. Transcatheter arterial embolization was an effective and safe method to control bleedings from them. |
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id | doaj.art-700c26e4c97b4df1a4dbaf75072f0fb7 |
institution | Directory Open Access Journal |
issn | 2577-171X |
language | English |
last_indexed | 2024-03-08T17:49:09Z |
publishDate | 2024-01-01 |
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series | IJU Case Reports |
spelling | doaj.art-700c26e4c97b4df1a4dbaf75072f0fb72024-01-02T09:18:35ZengWileyIJU Case Reports2577-171X2024-01-0171182110.1002/iju5.12657A case of bleeding shock induced by injury of the intercostal artery following percutaneous nephrolithotripsyHiroaki Kakinoki0Yukako Yamaguchi1Minika Yukimoto2Yuka Kakinoki3Kazuma Udo4Shohei Tobu5Go Takeshita6Yoshiaki Egashira7Ken Yamaguchi8Mitsuru Noguchi9Department of Urology, Faculty of Medicine Saga University Saga JapanDepartment of Urology, Faculty of Medicine Saga University Saga JapanDepartment of Urology, Faculty of Medicine Saga University Saga JapanDepartment of Urology, Faculty of Medicine Saga University Saga JapanDepartment of Urology, Faculty of Medicine Saga University Saga JapanDepartment of Urology, Faculty of Medicine Saga University Saga JapanDepartment of Radiology, Faculty of Medicine Saga University Saga JapanDepartment of Radiology, Faculty of Medicine Saga University Saga JapanDepartment of Radiology, Faculty of Medicine Saga University Saga JapanDepartment of Urology, Faculty of Medicine Saga University Saga JapanIntroduction The risk of postoperative bleeding complications should be concerned to perform percutaneous nephrolithotripsy. Most of the vascular injuries occurred at the peripheral renal artery in the previous reports. We experienced a case of bleeding shock induced by the injury of the intercostal artery in the abdominal wall following percutaneous nephrolithotripsy. Case presentation A 56‐year‐old woman had been in the bleeding shock status on the 2nd day after percutaneous nephrolithotoripsy. Emergently, contrast‐enhanced computed tomography was performed and extravasation of contrast agents was seen in the abdominal wall. Injuries of the intercostal artery were identified in the angiography and controlled by transcatheter arterial embolization. Conclusion The intercostal arteries could be injured in the anterolateral zone of the abdominal wall over the end of the ribs. Contrast‐enhanced computed tomography was useful to detect the bleeding point. Transcatheter arterial embolization was an effective and safe method to control bleedings from them.https://doi.org/10.1002/iju5.12657bleeding shockembolizationintercostal arterypercutaneous nephrolithotripsy |
spellingShingle | Hiroaki Kakinoki Yukako Yamaguchi Minika Yukimoto Yuka Kakinoki Kazuma Udo Shohei Tobu Go Takeshita Yoshiaki Egashira Ken Yamaguchi Mitsuru Noguchi A case of bleeding shock induced by injury of the intercostal artery following percutaneous nephrolithotripsy IJU Case Reports bleeding shock embolization intercostal artery percutaneous nephrolithotripsy |
title | A case of bleeding shock induced by injury of the intercostal artery following percutaneous nephrolithotripsy |
title_full | A case of bleeding shock induced by injury of the intercostal artery following percutaneous nephrolithotripsy |
title_fullStr | A case of bleeding shock induced by injury of the intercostal artery following percutaneous nephrolithotripsy |
title_full_unstemmed | A case of bleeding shock induced by injury of the intercostal artery following percutaneous nephrolithotripsy |
title_short | A case of bleeding shock induced by injury of the intercostal artery following percutaneous nephrolithotripsy |
title_sort | case of bleeding shock induced by injury of the intercostal artery following percutaneous nephrolithotripsy |
topic | bleeding shock embolization intercostal artery percutaneous nephrolithotripsy |
url | https://doi.org/10.1002/iju5.12657 |
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