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学科主题: 临床医学
题名:
A Misdiagnosed Iliac Pseudoaneurysm Complicated Lumbar Disc Surgery Performed 13 Years Ago
作者: Luan, Jing Yuan; Li, Xuan
关键词: iliac pseudoaneurysm ; lumbar disc surgery ; vertebra destruction
刊名: SPINE
发表日期: 2012-12-01
DOI: 10.1097/BRS.0b013e318272fd3d
卷: 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
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/65008
Appears in Collections:北京大学第三临床医学院_期刊论文

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作者单位: Peking Univ, Hosp 3, Dept Intervent Radiol & Vasc Surg, Beijing 100191, Peoples R China

Recommended Citation:
Luan, Jing Yuan,Li, Xuan. A Misdiagnosed Iliac Pseudoaneurysm Complicated Lumbar Disc Surgery Performed 13 Years Ago[J]. SPINE,2012,37(25):E1594-E1597.
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