CTICasesIatrogenic chest wall hematoma from thoracentesis
Imaging findings
Chest CT in a patient with cirrhosis and a recent thoracentesis shows an enormous chest wall hematoma with active arterial extravasation, and selective intercostal artery angiography demonstrates a rapid bleed from an intercostal artery branch, which was successfully treated with microcoil embolization.
Key takeaways
Intercostal artery injury is a rare but potentially life-threatening complication of thoracentesis or pleural biopsy. It can manifest as a rapidly expanding chest wall hematoma rather than hemothorax, requiring selective angiography and microcoil embolization.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Pericardial schwannomaNeoplastic
- Pleural mesothelioma presenting as dominant massNeoplastic
- Tracheal stenosis from prior intubationIatrogenic
- Cystic emphysemaExposure
- Stanford Type A aortic dissection originating from penetrating ulcerVascular
- Salmonella mycotic pseudoaneurysmInfection
- Mediastinal malignant peripheral nerve sheath tumorNeoplastic
- Granulomatosis with polyangiitisAutoimmune
See all cases from December 7, 2018 →