[Retroperitoneal vascular injuries as a complication of lumbar disc operation].
We describe 2 cases of retroperitoneal hematoma after lumbar disc surgery following injury to retroperitoneal vessels. One patient sustained a partial tear of the right common iliac artery during left L4/5 discectomy, the other a complete tear of the lowest lumbar artery during left L5/S1 discectomy. Both patients developed hypovolemic shock 4-5 hours postoperatively, with acute abdominal symptoms and signs; the former patient also showed signs of ischemia of the right lower extremity. Both recovered completely after surgical intervention with vascular repair and evacuation of the retroperitoneal hematoma.
Langmayr
J J
JJ
Universitätsklinik für Neurochirurgie, Innsbruck.
Kofler
A
A
Buchberger
W
W
D001158:Arteries / Q000293:injuries / Q000601:surgery; D006406:Hematoma / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000293:injuries / Q000601:surgery; D007405:Intervertebral Disc Displacement / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000098:blood supply / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D012086:Reoperation; D012187:Retroperitoneal Space
Retroperitoneal Gefässverletzungen als Komplikation von lumbalen Diskusoperationen.