Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 6, 2020; 8(17): 3835-3840
Published online Sep 6, 2020. doi: 10.12998/wjcc.v8.i17.3835
Diagnosis of an actively bleeding brachial artery hematoma by contrast-enhanced ultrasound: A case report
Jiao-Jiao Ma, Bo Zhang
Jiao-Jiao Ma, Bo Zhang, Department of Ultrasound, China-Japan Friendship Hospital, Beijing 100029, China
Author contributions: Zhang B performed the contrast-enhanced ultrasound examination and contributed to manuscript drafting; Ma JJ reviewed the literature and contributed to manuscript drafting; Zhang B and Ma JJ analyzed and interpreted the imaging findings; Zhang B and Ma JJ were responsible for the revision of the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Supported by the Peking Union Medical College and Chinese Academy of Medical Sciences, No. 201920102305.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Bo Zhang, MD, Chief Physician,Department of Medical Ultrasonics, China-Japan Friendship Hospital, No. 2 Yinghua East Road, Beijing 100029, China. zora19702006@163.com
Received: May 2, 2020
Peer-review started: May 2, 2020
First decision: May 21, 2020
Revised: July 16, 2020
Accepted: July 30, 2020
Article in press: July 30, 2020
Published online: September 6, 2020
Processing time: 124 Days and 19.4 Hours
Core Tip

Core tip: Active bleeding due to arterial injury following acupuncture can sometimes represent a life-threatening complication. We present herein, a rare case of actively bleeding brachial artery hematoma diagnosed by contrast-enhanced ultrasound (CEUS). CEUS enables the depiction of microvascularization, and has the potential to replace computed tomography in assessments for active bleeding. This case highlights the ultimate importance of CEUS for the diagnosis of an actively bleeding hematoma.