Abdominal aortic pseudoaneurysm as a complication of lumbar disc surgery
Authors: Baran Simsek , Volkan Yuksel, Orkut Guclu , Serhat Huseyin
Background: Iatrogenic vascular injury during lumbar discectomy is a rare but serious and life threatening complication. The pituitary rongeur is the usual cause of injury during the disc surgery. A deep bite can injure the major vessels, especially the abdominal aorta or the common iliac arteries. Case Presentation: We present a 33-year-old female patient with complaints of continuous abdominal pain and difficulty in walking. Her complaints began a couple of days before her admittance to our clinic. In the medical history, the patient had undergone a lumbar discectomy operation due to L4-L5 disc hernia 4 months ago. Her follow-up physical examinations were uneventfully in the first and third month of the lumbar disc surgery. The patient had no any chronic diseases in her medical history. Computed tomographical angiography revealed a 57 × 42 mm pseudoaneurysm formation from the abdominal aorta arising closely from the abdominal aortic bifurcation level. A primary repair for the posterior abdominal aortic defect and a patchplasty for the aortotomy was performed. Conclusion: Clinician should suspect of vascular complications in terms of ongoing complaints, such as abdominal pain or a pulsatile mass in the abdominal region after lumbar disc surgery. In such cases, the clinical evaluation and imaging procedures must be done carefully.
Keywords: Surgery complications, disc surgery, pseudoaneurysm, treatment.
Authors
Correspondence to:
Baran Simsek, baransimsek@trakyaedutr simsekbaran@yahoo.com
Publication history:
Received 04 Feb 2019
Revised 28 Jul 2019
Accepted 04 Sep 2019
Published online 18 Sep 2019
Published in print 15 Dec 2019
BS, Yuksel V, OG, Huseyin S, . Abdominal aortic pseudoaneurysm as a complication of lumbar disc surgery. EJMCR. 2019; 3(3): 95-97. doi:
10.24911/ejmcr/173-1548755937
BS, Yuksel V, OG, Huseyin S, . Abdominal aortic pseudoaneurysm as a complication of lumbar disc surgery. https://www.ejmcr.com/?mno=28496 [Access: April 20, 2024]. doi:
10.24911/ejmcr/173-1548755937
BS, Yuksel V, OG, Huseyin S, . Abdominal aortic pseudoaneurysm as a complication of lumbar disc surgery. EJMCR. 2019; 3(3): 95-97. doi:
10.24911/ejmcr/173-1548755937
BS, Yuksel V, OG, Huseyin S, . Abdominal aortic pseudoaneurysm as a complication of lumbar disc surgery. EJMCR. (2019), [cited April 20, 2024]; 3(3): 95-97. doi:
10.24911/ejmcr/173-1548755937
, B. S., Yuksel, V., , O. G. ., Huseyin, S. & (2019) Abdominal aortic pseudoaneurysm as a complication of lumbar disc surgery. EJMCR, 3 (3), 95-97. doi:
10.24911/ejmcr/173-1548755937
, Baran Simsek, Volkan Yuksel, Orkut Guclu, Serhat Huseyin, and . 2019. Abdominal aortic pseudoaneurysm as a complication of lumbar disc surgery. European Journal of Medical Case Reports, 3 (3), 95-97. doi:
10.24911/ejmcr/173-1548755937
, Baran Simsek, Volkan Yuksel, Orkut Guclu, Serhat Huseyin, and . "Abdominal aortic pseudoaneurysm as a complication of lumbar disc surgery." European Journal of Medical Case Reports 3 (2019), 95-97. doi:
10.24911/ejmcr/173-1548755937
, Baran Simsek, Volkan Yuksel, Orkut Guclu, Serhat Huseyin, and . "Abdominal aortic pseudoaneurysm as a complication of lumbar disc surgery." European Journal of Medical Case Reports 3.3 (2019), 95-97. Print. doi:
10.24911/ejmcr/173-1548755937
, B. S., Yuksel, V., , O. G. ., Huseyin, S. & (2019) Abdominal aortic pseudoaneurysm as a complication of lumbar disc surgery. European Journal of Medical Case Reports, 3 (3), 95-97. doi:
10.24911/ejmcr/173-1548755937