Abstract
BackgroundCase of urinary bladder wall and surrounding tissue necrosis following bilateral superselective embolization of internal iliac artery branches due to unmanageable haematuria associated with aggressive bladder tumor.CaseWe achieved the bleeding control, but patient demonstrated severe postembolization syndrome at follow-up (low abdominal pain, arterial hypertension, hyperthermia). Severe bladder tissue and surrounding neoplastic tissue necrosis developed several days after procedure. Patient died from multiple organ dysfunction syndrome due to longstanding peritonitis.ConclusionsTumor ischemia and bladder wall and surrounding tissue necrosis, are possible serious complications ofembolization using calibrated microspheres. These complications can be very dangerous, and even fatal.
Highlights
Case of urinary bladder wall and surrounding tissue necrosis following bilateral superselective embolization of internal iliac artery branches due to unmanageable haematuria associated with aggressive bladder tumor
Complications can manifest as fever, pelvic pain, nausea
* Correspondence: andrey.tarkhanov@gmail.com 1Sverdlovsk Regional Oncology Center - Interventional Radiology, Yekaterinburg, Russia Full list of author information is available at the end of the article reports with positive outcome have been published (Vikash Prasad, 2009; Korkmaz et al, 2016; Pereira et al, 2000; Pereira & Phan, 2004; Carmignani et al, 1980; El-Assmy & Mohsen, 2007). In this communication we describe case of tumor and surrounding bladder tissue necrosis following bladder arteries embolization due to macrohaematuria
Summary
Case of urinary bladder wall and surrounding tissue necrosis following bilateral superselective embolization of internal iliac artery branches due to unmanageable haematuria associated with aggressive bladder tumor. Background Embolization of bleeding due to locally advanced bladder tumors is one of the most effective and minimally invasive methods, especially in cases of non-operative bleeding that doesn‘t react to conservative treatment. In this communication we describe case of tumor and surrounding bladder tissue necrosis following bladder arteries embolization due to macrohaematuria.
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