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A Misdiagnosed Iliac Pseudoaneurysm Complicated Lumbar Disc Surgery Performed 13 Years Ago
Luan, Jing Yuan; Li, Xuan
关键词iliac pseudoaneurysm lumbar disc surgery vertebra destruction
刊名SPINE
2012-12-01
DOI10.1097/BRS.0b013e318272fd3d
37期:25页:E1594-E1597
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Clinical Neurology ; Orthopedics
研究领域[WOS]Neurosciences & Neurology ; Orthopedics
关键词[WOS]VASCULAR INJURY ; EROSION
英文摘要

Study Design. Case report.

Objective. To describe a unique case of iliac pseudoaneurysm-complicated lumbar disc surgery performed 13 years ago.

Summary of Background Data. Major vascular injury is an unusual but life-threatening complication of lumbar disc surgery. If a major vascular injury is unnoticed, the late complications, pseudoaneurysm, may be diagnosed years after primary lumbar disc surgery. Pseudoaneurysm can lead to compression of adjacent neurovascular structures; however, erosion into the adjacent vertebras and presentation with symptoms of nerve root irritation are rare.

Methods. The patient was a 54-year-old man who presented with pain and numbness in right hip and leg. Examination was normal. A plain radiograph showed destruction of the fourth and fifth lumbar vertebras. Magnetic resonance image showed a retroperitoneal mass eroding into the adjacent vertebras. The mass was primarily misdiagnosed as a neoplasm and a percutaneous needle biopsy was recommended. Before puncture, the computed tomographic angiogram confirmed it to be a pseudoaneurysm of left common iliac artery. Then, implantation of a covered stent was undergone.

Results. After implantation of a covered stent, the symptoms were relieved immediately. At the 12-month follow-up, the patient remained asymptomatic, and a computed tomographic angiogram revealed progressive shrinkage of the mass and significant healing of the eroded vertebras.

Conclusion. As an unusual complication of lumbar disc surgery, iliac pseudoaneurysm can present with radiating pain even after 13 years and erode into the adjacent vertebras producing appearances mimicking a tumor. For mass located anterior to vertebras, the percutaneous biopsy must be cautiously performed, and a contrast-enhanced computed tomographic scan is necessary.

语种英语
WOS记录号WOS:000311844600008
引用统计
被引频次:2[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/65008
专题北京大学第三临床医学院
作者单位Peking Univ, Hosp 3, Dept Intervent Radiol & Vasc Surg, Beijing 100191, Peoples R China
推荐引用方式
GB/T 7714
Luan, Jing Yuan,Li, Xuan. A Misdiagnosed Iliac Pseudoaneurysm Complicated Lumbar Disc Surgery Performed 13 Years Ago[J]. SPINE,2012,37(25):E1594-E1597.
APA Luan, Jing Yuan,&Li, Xuan.(2012).A Misdiagnosed Iliac Pseudoaneurysm Complicated Lumbar Disc Surgery Performed 13 Years Ago.SPINE,37(25),E1594-E1597.
MLA Luan, Jing Yuan,et al."A Misdiagnosed Iliac Pseudoaneurysm Complicated Lumbar Disc Surgery Performed 13 Years Ago".SPINE 37.25(2012):E1594-E1597.
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