Zusammenfassung
Die spontane Lumbalarterienruptur ist eine sehr seltene Ursache des retroperitonealen Hämatoms. Wir berichten über einen 77-jährigen Patienten mit einem Blasenkarzinom, bei dem aufgrund eines Herzklappenersatzes eine therapeutische Antikoagulation erforderlich war. Hierunter entwickelte sich eine spontane Lumbalarterienruptur mit Ausbildung eines ausgedehnten retroperitonealen Hämatoms. Die richtungsweisende Diagnostik und Therapie erfolgte durch die Angiographie und die transvasale Embolisation.
Abstract
A ruptured lumbar artery is an uncommon lesion for a retroperitoneal hematoma. This report describes a 77-year-old man with bladder carcinoma who developed a spontaneous retroperitoneal hemorrhage during anticoagulation therapy for an artificial cardiac valve. The diagnosis was suggested by computed tomography scan and confirmed with angiography. Successful treatment consisted of occluding bleeding arteries by transcatheter embolization.
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Schuster, F., Stösslein, F. & Steinbach, F. Spontane Lumbalarterienruptur. Urologe [A] 42, 840–844 (2003). https://doi.org/10.1007/s00120-003-0298-3
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DOI: https://doi.org/10.1007/s00120-003-0298-3