Acute Renal Shutdown Following Femoral Central Venous Catheterization: Iatrogenic or Spontaneous Rupture of the Inferior Epigastric Artery

Femoral central venous catheterization is a commonly performed procedure in the intensive care unit or ward in a hospital setting. Unfortunately, the venous catheterization procedure can cause insertion-related complications, commonly referred to as mechanical complications, which can range from being clinically insignificant to life-threatening if untreated. The femoral vein is chosen due to its low risk for complications such as bleeding, which are easy to control when the patient is on anticoagulants. Although the infection rate is high with femoral central line insertion, we prefer it over others given the history of anticoagulants. Here, we present a case of acute renal shutdown following the femoral central line given Inferior epigastric artery injury with hematoma compressing the urinary bladder. The early recognition of complications led to successful management of the patient.