Korean J Neurotrauma.  2016 Oct;12(2):171-174. 10.13004/kjnt.2016.12.2.171.

Iatrogenic Vascular Injury Occurring during Discectomy in a Spondylodiscitis Patient

• Kim DH
• Kim TW
• Kim MK
• Park KH

• KMID: 2356796
• DOI: http://doi.org/10.13004/kjnt.2016.12.2.171

Abstract

All iatrogenic vascular injury occurring during discectomy is a rare complication, but fatal if not immediately diagnosed. When a vascular injury is highly suspected during discectomy, immediate vascular evaluation is needed even vital signs are stable during and immediately after the operation. We describe a case of iatrogenic abdominal aortic injury that occurred during discectomy in a spondylodiscitis patient, which was treated by endovascular repair.

Keyword

Vascular system injuries; Discectomy; Discitis

MeSH Terms

Discitis*
Diskectomy*
Humans
Vascular System Injuries*
Vital Signs

Figure

• 

  FIGURE 1 Sagittal T2-weighted magnetic resonance imaging shows diffuse bone marrow signal change, endplate destruction and epidural abscess formation at the L2–3 level.

• 

  FIGURE 2 (A) Abdominal computed tomography image shows that hematoma (arrow) formation displaced the vessel and (B) caused a pseudoaneurysm in the aortocaval space (arrow).

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  FIGURE 3 (A) Abdominal computed tomography (CT) image shows decreased hematoma (arrow) and stent graft insertion. (B) CT angiogram also shows stent graft in the abdominal aorta.

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