Pseudoaneurysm of Lumbar Artery following a Vertebral Biopsy: A Case Report
A 74-year-old man developed a severe low back pain and a fever. In the initial examinations, a collapse of the L5 anterosuperior vertebral body and narrowing of the L4/5 disc space were identified on radiographs, and the laboratory data showed inflammatory results. A computed tomography (CT) and a m...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Radiology |
| Online Access: | http://dx.doi.org/10.1155/2012/127124 |
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| author | Yutaka Mifune Masayoshi Yagi Yasunobu Iwasaki Minoru Doita |
| author_facet | Yutaka Mifune Masayoshi Yagi Yasunobu Iwasaki Minoru Doita |
| author_sort | Yutaka Mifune |
| collection | DOAJ |
| description | A 74-year-old man developed a severe low back pain and a fever. In the initial examinations, a collapse of the L5 anterosuperior vertebral body and narrowing of the L4/5 disc space were identified on radiographs, and the laboratory data showed inflammatory results. A computed tomography (CT) and a magnetic resonance imaging showed collapse of L5. A needle biopsy was performed to make a diagnosis; however, an abdominal pain and a hypotension appeared after the biopsy. An abdominal CT showed a hematoma in the retroperitoneal space, and an angiography revealed a left fourth lumbar artery pseudoaneurysm. The pseudoaneurysm was treated with transcatheter placement of microcoils. Although haemorrhagic complications following needle biopsy are very rare, patients with large amounts of vertebral destruction may have unusual anatomical positions of the lumber artery. Therefore, surgeons should be aware of the possibility of lumbar artery injury during a needle biopsy and take care of prebiopsy plans. |
| format | Article |
| id | doaj-art-e12610ad0a4d480983ecaf7ea78c32b8 |
| institution | Kabale University |
| issn | 2090-6862 2090-6870 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Radiology |
| spelling | doaj-art-e12610ad0a4d480983ecaf7ea78c32b82025-08-20T03:25:59ZengWileyCase Reports in Radiology2090-68622090-68702012-01-01201210.1155/2012/127124127124Pseudoaneurysm of Lumbar Artery following a Vertebral Biopsy: A Case ReportYutaka Mifune0Masayoshi Yagi1Yasunobu Iwasaki2Minoru Doita3Department of Orthopaedic Surgery, Shin-Suma Hospital, Kobe 654-0047, JapanDepartment of Orthopaedic Surgery, Shin-Suma Hospital, Kobe 654-0047, JapanDepartment of Orthopaedic Surgery, Shin-Suma Hospital, Kobe 654-0047, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 5-7-2 Kusunoki-cho, Chuo-ku, Kobe 650-0047, JapanA 74-year-old man developed a severe low back pain and a fever. In the initial examinations, a collapse of the L5 anterosuperior vertebral body and narrowing of the L4/5 disc space were identified on radiographs, and the laboratory data showed inflammatory results. A computed tomography (CT) and a magnetic resonance imaging showed collapse of L5. A needle biopsy was performed to make a diagnosis; however, an abdominal pain and a hypotension appeared after the biopsy. An abdominal CT showed a hematoma in the retroperitoneal space, and an angiography revealed a left fourth lumbar artery pseudoaneurysm. The pseudoaneurysm was treated with transcatheter placement of microcoils. Although haemorrhagic complications following needle biopsy are very rare, patients with large amounts of vertebral destruction may have unusual anatomical positions of the lumber artery. Therefore, surgeons should be aware of the possibility of lumbar artery injury during a needle biopsy and take care of prebiopsy plans.http://dx.doi.org/10.1155/2012/127124 |
| spellingShingle | Yutaka Mifune Masayoshi Yagi Yasunobu Iwasaki Minoru Doita Pseudoaneurysm of Lumbar Artery following a Vertebral Biopsy: A Case Report Case Reports in Radiology |
| title | Pseudoaneurysm of Lumbar Artery following a Vertebral Biopsy: A Case Report |
| title_full | Pseudoaneurysm of Lumbar Artery following a Vertebral Biopsy: A Case Report |
| title_fullStr | Pseudoaneurysm of Lumbar Artery following a Vertebral Biopsy: A Case Report |
| title_full_unstemmed | Pseudoaneurysm of Lumbar Artery following a Vertebral Biopsy: A Case Report |
| title_short | Pseudoaneurysm of Lumbar Artery following a Vertebral Biopsy: A Case Report |
| title_sort | pseudoaneurysm of lumbar artery following a vertebral biopsy a case report |
| url | http://dx.doi.org/10.1155/2012/127124 |
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