J Korean Neurosurg Soc.  2009 Mar;45(3):192-195. 10.3340/jkns.2009.45.3.192.

Huge Psoas Muscle Hematoma due to Lumbar Segmental Vessel Injury Following Percutaneous Endoscopic Lumbar Discectomy

• Kim HS
• Ju CI
• Kim SW
• Kim JG

• KMID: 2189664
• DOI: http://doi.org/10.3340/jkns.2009.45.3.192

Abstract

We present a case of an acute psoas muscle hematoma following percutaneous endoscopic lumbar discectomy. A 60-year-old female who presented with far lateral lumbar disc herniation underwent endoscopic discectomy on the right side at the L4-5 level. On the second postoperative day, the patient complained of severe right flank and leg pain and her blood pressure decreased. A computed tomography scan showed a large acute psoas muscle hematoma at right L4-5 level. The patient was transfused with packed red blood cells and placed at absolute bed rest. After observing the patient in intensive care, the severe flank and leg pain subsided, but the mild back pain persisted. Although percutaneous endoscopic lumbar discectomy is an effective minimally invasive surgical technique for the treatment of lumbar disc herniation, this case highlights the inherent risks of acute lumbar segmental vessel injury.

Keyword

Percutaneous endoscopic lumbar discectomy; Psoas muscle hematoma; Lumbar segmental vessel injury

MeSH Terms

Back Pain
Bed Rest
Blood Pressure
Diskectomy
Erythrocytes
Female
Glycosaminoglycans
Hematoma
Humans
Critical Care
Leg
Middle Aged
Psoas Muscles
Glycosaminoglycans