title: Spinal anaesthesia in a patient with post-spine surgery dural ectasia.
abstract: Dural sac ectasia is a very infrequent anatomical abnormality, usually caused by connective tissue diseases, as Marfan syndrome. Very few cases have been described being a consequence of a previous spine surgical procedure. We describe the case of an elderly patient who should be operated on twice due to sub-occlusive colon disease. Surgery was performed under spinal anaesthesia. A dural sac ectasia was suspected after the first procedure and the abdominal X-ray was reviewed. The characteristics of the anatomical alteration and the course of both anaesthetic procedures were described. X-ray and CT images were provided.
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Consorcio Hospital General Universitario de Valencia, Valencia, Spain.
authors.forename: C L
authors.initials: CL
authors.lastname: Errando
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Consorcio Hospital General Universitario de Valencia, Valencia, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Del Moral
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Consorcio Hospital General Universitario de Valencia, Valencia, Spain.
authors.forename: I
authors.initials: I
authors.lastname: Cobo
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Consorcio Hospital General Universitario de Valencia, Valencia, Spain.
authors.forename: N
authors.initials: N
authors.lastname: García-Gregorio
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Consorcio Hospital General Universitario de Valencia, Valencia, Spain. Electronic address: mpallardolopez@yahoo.es.
authors.forename: M A
authors.initials: MA
authors.lastname: Pallardó-López
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology; D000369:Aged, 80 and over; D000775:Anesthesia, Spinal / Q000379:methods*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002045:Bupivacaine / Q000008:administration & dosage; D003082:Colectomy / Q000379:methods; D003125:Colostomy; D003131:Combined Modality Therapy; D004108:Dilatation, Pathologic / Q000209:etiology; D004388:Dura Mater / Q000473:pathology*; D017809:Fatal Outcome; D006801:Humans; D007278:Injections, Spinal / Q000009:adverse effects; D045822:Intestinal Volvulus / Q000601:surgery*; D007796:Laminectomy; D008297:Male; D008531:Megacolon / Q000150:complications / Q000601:surgery; D010538:Peritonitis / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology*; D011312:Pressure; D012810:Sigmoid Diseases / Q000601:surgery*; D013529:Surgical Wound Dehiscence / Q000150:complications / Q000601:surgery*
chemical_list: D000900:Anti-Bacterial Agents; D002045:Bupivacaine
keywords: Aged; Aged 80 and over; Anaesthesia; Anatomic variations; Anestesia subaracnoidea; Frail elderly; Spinal; Surgical procedures; anciano, anciano de 80 o más años, anciano frágil; cirugía general; variaciones anatómicas