Acute and Critical Care

Spontaneous Lumbar Artery Bleeding and Retroperitoneal Hematoma in a Patient Treated with Continuous Renal Replacement Therapy: Jin Kyung Park, Sung Ho Kim, Hee Jin Kim, Duk Hyun Lee; Korean J Crit Care Med. 2016;31(1):71-71. Published online February 29, 2016; DOI: https://doi.org/10.4266/kjccm.2016.31.1.71; Corrects: Acute Crit Care 2015;30(4):318

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Vascular Surgery/Nephrology
Spontaneous Lumbar Artery Bleeding and Retroperitoneal Hematoma in a Patient Treated with Continuous Renal Replacement Therapy: Jin Kyung Park, Sung Ho Kim, Hee Jin Kim, Duk Hyun Lee; Korean J Crit Care Med. 2015;30(4):318-322. Published online November 30, 2015; DOI: https://doi.org/10.4266/kjccm.2015.30.4.318; Correction in: Acute Crit Care 2016;31(1):71

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Rupture of the lumbar artery is usually associated with trauma but rarely has been reported in association with anticoagulation. We present a 71-year-old man who developed spontaneous rupture of the lumbar artery leading to a retroperitoneal hematoma while receiving continuous renal replacement therapy (CRRT). The bleeding was confirmed by computed tomography and angiography and was controlled successfully using selective angiographic embolization. We suggest that spontaneous retroperitoneal bleeding should be considered in a case of sudden decrease in hemoglobin in a CRRT patient.

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Transcatheter Arterial Embolization of Spontaneous Soft Tissue Hematomas: A Systematic Review
Lahoud Touma, Sarah Cohen, Christophe Cassinotto, Caroline Reinhold, Alan Barkun, Vi Thuy Tran, Olivier Banon, David Valenti, Benoit Gallix, Anthony Dohan
CardioVascular and Interventional Radiology.2019; 42(3): 335. CrossRef
Three cases of spontaneous lumbar artery rupture in hemodialysis patients
Na Kyoung Hwang, Harin Rhee, Il Young Kim, Eun Young Seong, Dong Won Lee, Soo Bong Lee, Ihm Soo Kwak, Chang Won Kim, Sang Heon Song
Hemodialysis International.2017;[Epub] CrossRef

A Case of Uremic Pericarditis and Cardiac Tamponade That Developed after Ethylene Glycol Poisoning: A Case Report: Ki Ju Kim, Jung Gil Park, Han Jun Ryu, Yeoun Su Jung, Sung Ho Kim, Bong Ryeol Lee, Byung Chun Jung, Hyun Jae Kang; Korean J Crit Care Med. 2010;25(3):176-181.; DOI: https://doi.org/10.4266/kjccm.2010.25.3.176

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Ethylene glycol is commonly incorporated into automotive antifreeze agents and a variety of other commercial products. Ethylene glycol poisoning can cause life-threatening metabolic acidosis, cardiopulmonary failure, and renal failure that may be fatal. We present an unusual case of a patient who ingested a large amount of ethylene glycol for the purpose of suicide and developed multiorgan damage, including acute renal failure followed by uremic pericarditis and cardiac tamponade. This unusual complication was effectively managed with echocardiography-guided percutaneous pericardiocentesis and continuous catheter drainage for 3 days. After intensive hemodialysis and supportive care, the patient made a good recovery with near normal cardiac and renal function. Physicians should be aware of the possibility of acute pericarditis and cardiac tamponade in cases of acute renal failure caused by ethylene glycol poisoning.

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Deneysel Etilen Glikol Zehirlenmesi Oluşturulan Ratlarda Myokardiyal Etkilerin Araştırılması*,**
Burak DOĞAN, Vehbi GÜNEŞ
Erciyes Üniversitesi Veteriner Fakültesi Dergisi.2020; 17(3): 275. CrossRef

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