Postoperative Paralumbar Pseudoaneurysm: A Case Report

Abstract

Lumbar artery pseudoaneurysm is a rare adverse event that is presented in reports. It is associated with serious injuries such as in the retroperitoneal cavity and pelvis. Furthermore, infection and iatrogenic etiology were documented as well. This case report presents a patient with a chest stab wound and a fall from a 2-m height, which resulted in multiple spinal fractures that were treated surgically. However, he presented back with lumbar artery pseudoaneurysm 2 weeks postoperatively, which was treated successfully by endovascular embolization.

Keywords

pseudoaneurysm - spine - complications - trauma - lumbar artery

• References

• 1 Inamasu J, Guiot BH. Vascular injury and complication in neurosurgical spine surgery. Acta Neurochir 2006; 148 (04) 375-387
• 2 Counihan M, Pontell ME, Selvan B, Trebelev A, Nunez A. Delayed presentation of a lumbar artery pseudoaneurysm resulting from isolated penetrating trauma. J Surg Case Rep 2015; 2015 (07) rjv083
• 3 Chan KT, Korivi N. Lumbar artery pseudoaneurysm in traumatic spinal cord injury: a case report. Arch Phys Med Rehabil 2003; 84 (03) 455-457
• 4 Kessel BJ, Habib FA, Thompson B, Bajayo DE, Shatz D. Lumbar artery pseudoaneurysm. Eur J Trauma 2004; 30 (03) 187-190
• 5 Nijenhuis RJ, Sluzewski M, van Rooij WJ. Iatrogenic lumbar pseudoaneurysm causing dural sac compression after spine surgery. J Neurosurg Spine 2009; 10 (06) 585-586
• 6 Tomescot A, Dallaudiere B, Zurlinden O, Manelfe J. Lumbar artery pseudoaneurysm as a late complication of osteomyelitis with vertebral body destruction. J Vasc Surg 2013; 58 (04) 1084-1087
• 7 Lee KH, Park JH, Chung JW, Han JK, Shin SJ, Kang HS. Vascular complications in lumbar spinal surgery: percutaneous endovascular treatment. Cardiovasc Intervent Radiol 2000; 23 (01) 65-69
• 8 Sandri A, Regis D, Marino MA, Puppini G, Bartolozzi P. Lumbar artery injury following posterior spinal instrumentation for scoliosis. Orthopedics 2011 34(04):
• 9 Latka K, Zurawel R, Maj B, Olbrycht T, Chowaniec J, Latka D. Iatrogenic lumbar artery pseudoaneurysm after lumbar transpedicular fixation: case report. SAGE Open Med Case Rep 2019; 7: 317
• 10 Liu L, Li N, Wang Q. , et al. Iatrogenic lumbar artery injury in spine surgery: a literature review. World Neurosurg 2019; 122: 266-271
• 11 Ntourantonis D, Tsekouras V, Korovessis P. Delayed fatal lumbar artery bleeding following less invasive posterolateral decompression and fusion. Spine 2018; 43 (16) E976-E979
• 12 Ventura F, Barranco R, Bernabei C, Castelletti L, Castellan L. A fatal and unusual iatrogenic fourth right lumbar artery injury complicating wrong-level hemilaminectomy: a case report and literature review. Br J Neurosurg 2019; 33: 434-436