Two cases of retroperitoneal hematoma after transforaminal percutaneous endoscopic lumbar discectomy
| Autor: | Sang-Soo Eun, Shih-Min Lee, Dong-Hyun Bae, Sang-Ho Lee |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Percutaneous business.industry Lumbar discectomy Perforation (oil well) lcsh:Surgery lcsh:RD1-811 Retroperitoneal hematoma lcsh:RC346-429 030218 nuclear medicine & medical imaging Surgery 03 medical and health sciences 0302 clinical medicine Hemorrhagic complication Intensive care medicine Lumbar spine Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery lcsh:Neurology. Diseases of the nervous system |
| Zdroj: | Interdisciplinary Neurosurgery, Vol 20, Iss, Pp-(2020) |
| ISSN: | 2214-7519 |
| Popis: | Introduction: Transforaminal percutaneous endoscopic lumbar discectomy (PELD) is a minimally invasive spinal procedure for soft disc herniation of the lumbar spine. It is considered relatively safe and is commonly used. However, hemorrhagic complications can occur. Herein, we report two cases of severe retroperitoneal bleeding after transforaminal PELD. Case reports: Two patients underwent PELD at the L4-5 level, and the preoperative symptoms improved. However, a few hours after the surgery, the patients complained of severe abdominal pain. Radiologic evaluation showed a large retroperitoneal hematoma compressing the abdominal organs. Results: The patients did not undergo an open hematoma evacuation but received intensive care. After 9–14 days of intensive care, they recovered and were discharged. Conclusion: Retroperitoneal hematoma may occur after PELD due to segmental artery perforation. The spinal needle should be manipulated carefully. Even for large hematomas, conservative treatment is possible in select patients. Keywords: Retroperitoneal hematoma, PELD, Percutaneous endoscopic lumbar discectomy, Complication |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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