ABSTRACT
We encountered a 60-year-old man who had been diagnosed with heart failure of valvular disease and infective endocarditis; he was being treated with intravenous antibiotics and diuretics. On the 12th hospital day, he suddenly lost consciousness; computed tomography showed a right-sided huge subdural hematoma (SDH) with brain herniation. He died after invasive care was discontinued. A massive SDH was noted at autopsy, and microimaging demonstrated ruptured infective arteritis, without aneurysm, on the surface of the culprit lobe. Acute SDH usually occurs after head trauma, but an area of nonsaccular aneurysmal arteritis can also result in acute SDH.
Subject(s)
Aneurysm, Ruptured , Endocarditis, Bacterial , Hematoma, Subdural, Acute , Intracranial Aneurysm , Male , Humans , Middle Aged , Hematoma, Subdural, Acute/diagnostic imaging , Hematoma, Subdural, Acute/etiology , Intracranial Aneurysm/complications , Intracranial Aneurysm/diagnostic imaging , Aneurysm, Ruptured/complications , Aneurysm, Ruptured/diagnostic imaging , Hematoma, SubduralABSTRACT
Acupuncture is an alternative treatment for a variety of diseases, and serious complications are rare. We report a case of transcatheter arterial embolization performed in a patient with a massive hemothorax after acupuncture treatment. A 36-year-old woman with no previous medical history was admitted to our hospital with left back pain and respiratory distress after acupuncture treatment. Contrast-enhanced computed tomography showed a left hemothorax and leakage of contrast medium, which was considered to result from an injury to the second intercostal artery, caused by acupuncture treatment. Transcatheter arterial embolization successfully stopped the bleeding, and the hematoma was thoracoscopically removed. No rebleeding was observed 6 months after treatment.
