{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T19:56:47Z","timestamp":1768420607204,"version":"3.49.0"},"reference-count":16,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T00:00:00Z","timestamp":1709769600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>The spontaneous rupture of a subcostal (12th intercostal) artery is exceptionally rare and could be fatal, requiring early diagnosis and treatment. Only one case of intercostal artery (ICA) bleeding in a patient undergoing hemodialysis (HD) has been reported. We additionally describe a 41-year-old man undergoing HD who presented with a spontaneous hemoperitoneum and shock resulting from a subcostal artery rupture. He initially complained of diffuse abdominal pain and dizziness at the emergency room. His abdomen was bloated, and there was tenderness in the right upper quadrant area. Enhanced computed tomography and arteriography revealed a rupture of the right subcostal artery. After the super-selection of the bleeding artery by a microcatheter, embolization was performed using a detachable coil and gelfoam. In a subsequent arteriogram, additional contrast leakage was no longer detected, and his blood pressure was restored to normal. The patient was discharged without any sequelae. He was followed up at our HD center without recurrence of ICA bleeding. To the best of our knowledge, this is the second case in the English literature documenting a spontaneous ICA rupture in a patient undergoing HD. This case indicates that injury to ICA should be suspected when patients undergoing HD complain of abdominal or chest pain and dizziness, although it is very rare.<\/jats:p>","DOI":"10.3390\/medicina60030439","type":"journal-article","created":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T08:59:37Z","timestamp":1709801977000},"page":"439","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Idiopathic Spontaneous Rupture of a Subcostal Artery in a Patient Undergoing Hemodialysis: A Case Report"],"prefix":"10.3390","volume":"60","author":[{"given":"Junha","family":"Ryu","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Changwon 51472, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seolje","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Changwon 51472, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tae Won","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Changwon 51472, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eunjin","family":"Bae","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Changwon 51472, Republic of Korea"},{"name":"Department of Internal Medicine, Gyeongsang National University College of Medicine, Jinju 52727, Republic of Korea"},{"name":"Institute of Medical Science, Gyeongsang National University, Jinju 52727, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dong Jun","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Changwon 51472, Republic of Korea"},{"name":"Department of Internal Medicine, Gyeongsang National University College of Medicine, Jinju 52727, Republic of Korea"},{"name":"Institute of Medical Science, Gyeongsang National University, Jinju 52727, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,3,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1159\/000446177","article-title":"Spontaneous Left Renal Subcapsular Hematoma and Right Hip Hematoma in a Hemodialysis Patient: A Case Report and Review of the Literature","volume":"42","author":"Ye","year":"2016","journal-title":"Blood Purif."},{"key":"ref_2","first-page":"116","article-title":"Idiopathic Spontaneous Rupture of an Intercostal Artery","volume":"113","author":"Dua","year":"2014","journal-title":"WMJ"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"131.e1","DOI":"10.1016\/j.ajem.2014.06.033","article-title":"Spontaneous rupture of intercostal artery after severe cough","volume":"33","author":"Jang","year":"2015","journal-title":"Am. 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