Fatal peritoneal bleeding following embolization of a carotid-cavernous fistula in Ehlers-Danlos syndrome type IV

Cardiovasc Intervent Radiol. 2006 Nov-Dec;29(6):1104-6. doi: 10.1007/s00270-005-0331-6.


We report the case of a 25-year-old woman treated for a spontaneous carotid-cavernous fistula in a context of Ehlers-Danlos syndrome type IV. Embolization with a transvenous approach was achieved without complications; however, the patient died 72 hr later of massive intraperitoneal bleeding. At autopsy, no lesion of the digestive arteries was identified. Possible causes of this bleeding are discussed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angiography
  • Carotid-Cavernous Sinus Fistula / therapy*
  • Ehlers-Danlos Syndrome / therapy*
  • Embolization, Therapeutic / adverse effects*
  • Fatal Outcome
  • Female
  • Hemoperitoneum / etiology*
  • Hemoperitoneum / pathology
  • Humans
  • Postoperative Hemorrhage / etiology*
  • Postoperative Hemorrhage / pathology