An Unexpected Complication of Bone Marrow Aspiration and Trephine Biopsy: Arteriovenous Fistula

Objective: To report a case of arteriovenous fistula (AVF) following bone marrow aspiration and trephine biopsy. Clinical Presentation and Intervention: A 76-year-old man was diagnosed with acute myeloblastic leukemia. Pain and hematoma were detected in his left leg and hip 4 days after bone marrow...

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Bibliographic Details
Published in:Medical principles and practice 2014-01, Vol.23 (4), p.380-383
Main Authors: Berber, Ilhami, Erkurt, Mehmet Ali, Kuku, Irfan, Kaya, Emin, Kutlu, Ramazan, Koroglu, Mustafa, Yigit, Ali, Unlu, Serkan
Format: Article
Language:English
Subjects:
Aged
Antineoplastic Combined Chemotherapy Protocols
Arteriovenous Fistula - etiology
Biopsy - adverse effects
Biopsy - methods
Bone Marrow
Case Report
Humans
Iliac Artery
Leukemia, Myeloid, Acute - diagnosis
Leukemia, Myeloid, Acute - drug therapy
Male
Ultrasonography, Doppler
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Summary:Objective: To report a case of arteriovenous fistula (AVF) following bone marrow aspiration and trephine biopsy. Clinical Presentation and Intervention: A 76-year-old man was diagnosed with acute myeloblastic leukemia. Pain and hematoma were detected in his left leg and hip 4 days after bone marrow aspiration and trephine biopsy. A pelvic arteriography was performed, and a diagnosis of AVF was made. Conclusion: This case shows that clinicians should be aware of AVF, especially in cases with refractory bleeding after bone marrow aspiration and trephine biopsy despite normal blood coagulation parameters.
ISSN:1011-7571
1423-0151
DOI:10.1159/000358173