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Korean J Crit Care Med > Volume 12(2); 1997 > Article
Korean Journal of Critical Care Medicine 1997;12(2): 159-162.
추간판 절제술중 발생한 우측 총장골 동정맥 파열
장연, 지승은, 조은정, 박수석, 정수영, 송호경
가톨릭 대학교 의과대학 마취과학교실
A Case of Rupture of Right Common Iliac Artery and Vein during Lumbar Discectomy: A case report
Yeon Jang, Seung Eun Ji, Eun Jung Cho, Soo Seog Park, Soo Young Jung, Ho Kyung Song
Department of Anesthesiology, Catholic University College of Medicine, Seoul, Korea.
ABSTRACT
Intraabdominal vascular complications associated with lumbar disc surgery are rare but have potentially fatal consequences. Clinical manifestations of such injuries may be extremely variable and confused with anesthetic complications, myocardial infarction, or pulmonary embolism. So, the presence of vascular injury may not be recognized immediately. Recently, we experienced a case of extensive retroperitoneal hemorrhage during lumbar disc surgery. The patient was a 35 year-old healthy female. During operation, unexplained profound hypotension and tachycardia developed, but abnormal bleeding was not seen in the operative wound. Emergency CT of the abdomen was performed, and huge retroperitoneal hematoma was confirmed by the CT scan. Immediate abdominal exploration revealed the injury to right common iliac artery and vein. The patient underwent primary repair of lacerated artery and vein. Postoperative recovery was uneventful. We think awareness of the likelihood of vascular complications related to disc surgery is quite important for early diagnosis and management of these life-threatening complications.
Key Words: Complications; vascular injury; Surgery; lumbar discectomy
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