• Med Princ Pract · Jan 2014

    Case Reports

    An unexpected complication of bone marrow aspiration and trephine biopsy: arteriovenous fistula.

    • Ilhami Berber, Mehmet Ali Erkurt, Irfan Kuku, Emin Kaya, Ramazan Kutlu, Mustafa Koroglu, Ali Yigit, and Serkan Unlu.
    • Department of Hematology, Faculty of Medicine, Inonu University, Malatya, Turkey.
    • Med Princ Pract. 2014 Jan 1; 23 (4): 380-3.

    ObjectiveTo report a case of arteriovenous fistula (AVF) following bone marrow aspiration and trephine biopsy.Clinical Presentation And InterventionA 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.ConclusionThis 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.© 2014 S. Karger AG, Basel

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