Delayed bleeding complication due to internal mammary artery injury after ultrasound-guided percutaneous catheter drainage for liver cyst infection

Acute Medicine & Surgery
Tomoyuki AraiTakashi Shibui

Abstract

Ultrasound-guided percutaneous catheter drainage (PCD) is widely accepted as a primary treatment for pyogenic liver abscess. Severe PCD-related complications have been reported; however, delayed bleeding complications due to internal mammary artery injury are unknown. An 84-year-old man undergoing hemodialysis owing to chronic kidney disease due to focal segmental glomerulosclerosis was admitted to our hospital for liver cyst infection. Ultrasound-guided PCD was carried out through the normal liver at the upper abdominal midline at the level of the sixth intercostal space. Two days later, an abdominal hematoma occurred at the puncture site. Contrast-enhanced computed tomography revealed extravasation of the distal right internal mammary artery, which was successfully treated with percutaneous coil embolization. Internal mammary artery injury should be considered as a differential diagnosis when a progressing hematoma develops after PCD.

References

Nov 14, 1997·The Annals of Thoracic Surgery·J A Henriquez-PinoE Buffolo
Feb 4, 2003·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Antonio GiorgioEugenio Caturelli
Mar 15, 2013·Medical Ultrasonography·Andreea PârvCaius Duncea
Feb 24, 2016·Journal of Clinical and Experimental Hepatology·Hemanta K NayakArun Karyampudi
May 16, 2017·AJR. American Journal of Roentgenology·Steffen J HaiderEric K Hoffer
Jul 12, 2017·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Kyle RismillerJohn B Ammori

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