Halicek Martin, Qian Chenghao, Raissi Driss, Wang Xiaoqin, Chornenkyy Yevgen, Bates William B, Winkler Michael
Medical College of Georgia at Augusta University, Department of Radiology, Augusta, GA, USA.
University of California Davis, Department of Internal Medicine, Davis, CA, USA.
Radiol Case Rep. 2021 Sep 20;16(11):3593-3596. doi: 10.1016/j.radcr.2021.08.053. eCollection 2021 Nov.
The most clinically significant complication associated with stereotactic core needle biopsy of the breast is hematoma formation, which only occurs in less than 1% of biopsies and may require treatment. Cases of uncontrollable bleeding, refractory to repeated compression, resulting from biopsy are exceedingly rare. We present a case of catastrophic, uncontrollable bleeding and large hematoma formation resulting from stereotactic vacuum-assisted breast biopsy of a breast mass identified in screening mammography. Percutaneous embolization was planned and guided using 3D reconstructions from computed tomographic angiography, and bleeding was successfully controlled with micro-coil embolization.
与乳腺立体定向真空辅助活检相关的最具临床意义的并发症是血肿形成,其仅发生在不到1%的活检病例中,可能需要治疗。活检导致的无法控制的出血,经反复压迫仍难以控制的情况极为罕见。我们报告一例因乳腺钼靶筛查发现的乳腺肿块进行立体定向真空辅助乳腺活检后出现灾难性、无法控制的出血和巨大血肿形成的病例。计划采用计算机断层血管造影的三维重建进行经皮栓塞引导,并通过微线圈栓塞成功控制了出血。