J Korean Orthop Assoc.  2008 Jun;43(3):400-403. 10.4055/jkoa.2008.43.3.400.

Lumbar Artery Injury Combined with a Transverse Process Fracture of the Lumbar Spine Presentingwith Hypovolemic Shock after a Fall: A Case Report

• Lee JS
• Kim CW
• Suh KT

• KMID: 2186460
• DOI: http://doi.org/10.4055/jkoa.2008.43.3.400

Abstract

There are many reports on lumbar artery injuries. However, there are only a few case reports of a lumbar artery injury presenting with hypovolemic shock from either a blunt or penetrating trauma. We described a 47-year-old man with a retroperitoneal hemorrhage secondary to a lumbar artery injury presenting as hypovolemic shock after a 3 m fall.

Keyword

Lumbar artery injury; Hypovolemic shock; Fall

MeSH Terms

Arteries
Hemorrhage
Humans
Hypovolemia
Middle Aged
Shock
Spine

Figure

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  Fig. 1 Anteroposterior radiograph of the lumbar spine shows a fracture of the left second, third and fourth lumbar transverse processes (arrows).

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  Fig. 2 Enhanced abdominopelvic computed tomographic scan at the level of the third lumbar vertebrae shows a large retroperitoneal hematoma.

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  Fig. 3 Arteriography shows an actively bleeding second lumbar artery (arrow).

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  Fig. 4 Arteriography shows the cessation of bleeding after embolization (arrow).

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  Fig. 5 Control computed tomography scan at the level of the third lumbar vertebrae 3 months after embolization shows a markedly decreased retroperitoneal hematoma.

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