Walking the Risk-Benefit Tight Rope: A Case of Post Fine Needle Aspiration
Haemorrhage in Extramedullary Plasmacytoma

Deeksha      Bhalla; SH      Chandrashekhara; Abdul      Razik; Atul      Sharma; Rupak   Kumar   Giri

doi:10.2174/1573405618666220308102941

Abstract

Background: Primary extramedullary plasmacytomas (EMP) are rare; however, secondary forms may be seen in ~10-15% of patients with systemic multiple myeloma (MM). The diagnosis of EMP is based on the demonstration of monoclonal plasma cells in the lesion, which requires tissue sampling.

Case Presentation: We present a case of a 38 year old female with MM who underwent diagnostic US at our institute. Multiple focal liver lesions were detected, which were suspicious for EMP. She underwent fine needle aspiration cytology (FNAC) for diagnosis, following which she developed hemoperitoneum secondary to deranged clotting parameters (prothrombin time and platelet count). CT angiography revealed active hepatic capsular bleed. She was taken up for percutaneous embolisation, and the supplying vessel successfully embolised using gel foam particles.

Conclusion: Complications may rarely occur in interventional procedures, particularly in patients with comorbidities. However, prompt diagnosis and management help prevent adverse outcomes.

Keywords: Multiple myeloma, plasmacytoma, biopsy, fine needle, hemorrhage, embolisation.

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DOI https://dx.doi.org/10.2174/1573405618666220308102941	Print ISSN 1573-4056
Publisher Name Bentham Science Publisher	Online ISSN 1875-6603

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Walking the Risk-Benefit Tight Rope: A Case of Post Fine Needle Aspiration Haemorrhage in Extramedullary Plasmacytoma

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