Rupture of aorta and inferior vena cava during lumbar disc surgery.
Major vascular injury during lumbar disc surgery has been recognized as an unusual but well described complication. A potentially fatal outcome can be avoided by a high index of suspicion and an early diagnosis. We present a rare case of aortic and inferior vena caval injury in a 50-year-old female patient undergoing intervertebral disc surgery at lumbar one and two levels. A quick diagnosis and prompt management resulted in a favourable outcome for the patient.
Prabhakar
H
H
Department of Neuroanesthesiology, All India Institute of Medical Sciences, New Delhi, India.
Bithal
P K
PK
Dash
M
M
Chaturvedi
A
A
D001012:Aorta, Abdominal / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D001019:Aortic Rupture / Q000209:etiology* / Q000601:surgery; D017586:Diskectomy / Q000009:adverse effects* / Q000295:instrumentation; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000473:pathology; D006801:Humans; D007022:Hypotension / Q000175:diagnosis / Q000209:etiology / Q000473:pathology; D007403:Intervertebral Disc / Q000293:injuries / Q000473:pathology / Q000601:surgery; D007405:Intervertebral Disc Displacement / Q000473:pathology / Q000601:surgery*; D007431:Intraoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007813:Laparotomy; D017846:Longitudinal Ligaments / Q000293:injuries / Q000473:pathology; D008159:Lumbar Vertebrae / Q000293:injuries / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D013525:Surgical Instruments / Q000009:adverse effects; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures; D014682:Vena Cava, Inferior / Q000293:injuries* / Q000473:pathology / Q000601:surgery