Abdominal Aortocaval Vascular Injury following Routine Lumbar Discectomy
Vascular complications following spinal surgery are potentially fatal; however, fortunately they are rare. This risk is often focused on the close proximity of the surgical field to retroperitoneal structures. Prompt diagnosis is essential; however, bleeding is often occult, and this may therefore d...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2014/895973 |
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| author | Matthew Leech Marc James Whitehouse Ruta Kontautaite Mukesh Sharma Sumant Shanbhag |
| author_facet | Matthew Leech Marc James Whitehouse Ruta Kontautaite Mukesh Sharma Sumant Shanbhag |
| author_sort | Matthew Leech |
| collection | DOAJ |
| description | Vascular complications following spinal surgery are potentially fatal; however, fortunately they are rare. This risk is often focused on the close proximity of the surgical field to retroperitoneal structures. Prompt diagnosis is essential; however, bleeding is often occult, and this may therefore delay management of this condition. Despite previous reports many clinicians may not be aware of this potentially fatal complication. The overall morbidity and mortality may be reduced by prompt diagnosis and treatment. Clinicians must, therefore, have a high degree of suspicion in all patients who undergo spinal surgery. We therefore present a case of a 51-year-old man who sustained an aortocaval injury during a revisional lumbar discectomy. The patient developed refractory hypotension, which deteriorated into PEA arrest. Emergency laparotomy was performed which revealed an aortocaval injury. Immediate primary vascular repair was successfully performed. The patient was resuscitated and made a full recovery. |
| format | Article |
| id | doaj-art-d54ccb2c05b2412da88420a87e0b2242 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-d54ccb2c05b2412da88420a87e0b22422025-02-03T06:08:10ZengWileyCase Reports in Anesthesiology2090-63822090-63902014-01-01201410.1155/2014/895973895973Abdominal Aortocaval Vascular Injury following Routine Lumbar DiscectomyMatthew Leech0Marc James Whitehouse1Ruta Kontautaite2Mukesh Sharma3Sumant Shanbhag4Department of General Surgery, University Hospital of South Manchester NHS Foundation Trust, Wythenshawe Hospital, Southmoor Road, Wythenshawe, Manchester M23 9LT, UKDepartment of Anaesthesia and Intensive Care, Walsall Manor Hospitals NHS Trust, Walsall, West Midlands WS2 9PS, UKDepartment of Anaesthesia and Intensive Care, Walsall Manor Hospitals NHS Trust, Walsall, West Midlands WS2 9PS, UKDepartment of Anaesthesia and Intensive Care, Walsall Manor Hospitals NHS Trust, Walsall, West Midlands WS2 9PS, UKDepartment of Anaesthesia and Intensive Care, Walsall Manor Hospitals NHS Trust, Walsall, West Midlands WS2 9PS, UKVascular complications following spinal surgery are potentially fatal; however, fortunately they are rare. This risk is often focused on the close proximity of the surgical field to retroperitoneal structures. Prompt diagnosis is essential; however, bleeding is often occult, and this may therefore delay management of this condition. Despite previous reports many clinicians may not be aware of this potentially fatal complication. The overall morbidity and mortality may be reduced by prompt diagnosis and treatment. Clinicians must, therefore, have a high degree of suspicion in all patients who undergo spinal surgery. We therefore present a case of a 51-year-old man who sustained an aortocaval injury during a revisional lumbar discectomy. The patient developed refractory hypotension, which deteriorated into PEA arrest. Emergency laparotomy was performed which revealed an aortocaval injury. Immediate primary vascular repair was successfully performed. The patient was resuscitated and made a full recovery.http://dx.doi.org/10.1155/2014/895973 |
| spellingShingle | Matthew Leech Marc James Whitehouse Ruta Kontautaite Mukesh Sharma Sumant Shanbhag Abdominal Aortocaval Vascular Injury following Routine Lumbar Discectomy Case Reports in Anesthesiology |
| title | Abdominal Aortocaval Vascular Injury following Routine Lumbar Discectomy |
| title_full | Abdominal Aortocaval Vascular Injury following Routine Lumbar Discectomy |
| title_fullStr | Abdominal Aortocaval Vascular Injury following Routine Lumbar Discectomy |
| title_full_unstemmed | Abdominal Aortocaval Vascular Injury following Routine Lumbar Discectomy |
| title_short | Abdominal Aortocaval Vascular Injury following Routine Lumbar Discectomy |
| title_sort | abdominal aortocaval vascular injury following routine lumbar discectomy |
| url | http://dx.doi.org/10.1155/2014/895973 |
| work_keys_str_mv | AT matthewleech abdominalaortocavalvascularinjuryfollowingroutinelumbardiscectomy AT marcjameswhitehouse abdominalaortocavalvascularinjuryfollowingroutinelumbardiscectomy AT rutakontautaite abdominalaortocavalvascularinjuryfollowingroutinelumbardiscectomy AT mukeshsharma abdominalaortocavalvascularinjuryfollowingroutinelumbardiscectomy AT sumantshanbhag abdominalaortocavalvascularinjuryfollowingroutinelumbardiscectomy |