Spontaneous breast hematoma as a complication of anticoagulation therapy requiring angiography and embolization

Robert Dunlap; Carson Kisner; Christos S Georgiades; Andrew Demmert; Gray R Lyons

doi:10.1016/j.clinimag.2020.07.023

Spontaneous breast hematoma as a complication of anticoagulation therapy requiring angiography and embolization

Clin Imaging. 2021 Jan:69:169-171. doi: 10.1016/j.clinimag.2020.07.023. Epub 2020 Jul 29.

Authors

Robert Dunlap¹, Carson Kisner¹, Christos S Georgiades¹, Andrew Demmert¹, Gray R Lyons²

Affiliations

¹ Department of Radiology, Division of Interventional Radiology, Johns Hopkins School of Medicine, 1800 Orleans St., Baltimore, MD 21287, United States of America.
² Department of Radiology, Division of Interventional Radiology, Johns Hopkins School of Medicine, 1800 Orleans St., Baltimore, MD 21287, United States of America. Electronic address: [email protected].

PMID: 32861127
DOI: 10.1016/j.clinimag.2020.07.023

Abstract

Spontaneous breast hematoma is a rare complication of therapeutic anticoagulation therapy with few cases reported in the literature. We present a case of spontaneous breast hematoma resulting in hypotension and symptomatic anemia. Angiography demonstrated multiple sites of hemorrhage within the breast, which was treated with gelatin sponge embolization. This case highlights the role of interventional radiology in the treatment of breast hematoma, as well as reviews the arterial vascular anatomy of the breast.

Keywords: Angiography; Breast hematoma; Embolization.

Publication types

Case Reports

MeSH terms

Angiography
Anticoagulants / adverse effects
Breast / diagnostic imaging
Embolization, Therapeutic* / adverse effects
Hematoma* / chemically induced
Hematoma* / diagnostic imaging
Humans

Substances

Anticoagulants