February 8, 1965

Hemothorax Complicating Translumbar Aortography

Author Affiliations

Little Rock, Ark

JAMA. 1965;191(6):505-506. doi:10.1001/jama.1965.03080060079038

To the Editor:—  The translumbar method of abdominal aortography is advocated by Leadbetter and Markland1 for renal artery studies, and their compilation of experience shows relatively few serious complications. Perhaps the commonest complication is hemorrhage, which is usually self-limited, manifested as a retroperitoneal hematoma noted subsequently at surgery, and rarely of any magnitude. However, retroperitoneal dissection and exsanguination may develop. Presented here is a most unusual hemorrhagic complication, that of massive bleeding into the chest.A 38-year-old Negro male was under investigation for arterial hypertension (180/110 Hg mm) of recent origin. The intravenous pyelogram, regitine test, and total and differential renal function studies were normal. Under epidural anesthesia, an 18-gauge needle was passed through the left flank and into the aorta on the first attempt. A 5 cc test dose of 50% sodium diatrizoate was injected and the films examined for needle placement, which was deemed satisfactory. The second

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