Aldoori Jaafar S, Abdulfaraj Araz, Rasul Shahla M S
Department of Cardiology, Slemani Cardiac Hospital (SCH), Qanat Street, Sulaymaniyah, Kurdistan Region, 46001, Iraq.
Department of Radiology, College of Medicine, Sulaymaniyah University, Sulaymaniyah, Kurdistan Region, Iraq.
Egypt Heart J. 2024 Sep 6;76(1):119. doi: 10.1186/s43044-024-00552-9.
Cardiac catheterization via the transfemoral approach can be associated with access site bleeding complications such as inguinal hematoma, pseudoaneurysm, arteriovenous fistula and retroperitoneal hematoma. Scrotal hematoma is a rare presentation of bleeding complications after transfemoral cardiac catheterization. We report a case of this rare complication.
A 63-year-old male with previous coronary artery bypass surgery underwent percutaneous coronary intervention via transfemoral approach. Few hours after removal of the femoral sheath, he developed a big scrotal hematoma and hemodynamic deterioration. The patient responded successfully to conservative treatment and discharged from hospital after three days in a stable condition.
Bleeding complications after transfemoral cardiac catheterization can rarely present as scrotal hematoma. The management of this complication is usually conservative, and only few cases may require surgical treatment.
经股动脉途径进行心脏导管插入术可能会伴有穿刺部位出血并发症，如腹股沟血肿、假性动脉瘤、动静脉瘘和腹膜后血肿。阴囊血肿是经股动脉心脏导管插入术后出血并发症的一种罕见表现。我们报告一例这种罕见并发症的病例。
一名63岁男性，既往有冠状动脉搭桥手术史，行经股动脉途径的经皮冠状动脉介入治疗。拔除股动脉鞘管数小时后，他出现了巨大阴囊血肿并伴有血流动力学恶化。患者经保守治疗成功康复，三天后病情稳定出院。
经股动脉心脏导管插入术后的出血并发症很少表现为阴囊血肿。这种并发症的处理通常是保守的，只有少数病例可能需要手术治疗。
