Psoas hematoma as a rare complication of posterior lumbar interbody fusion: a case report

BMC Surgery

Hai Nan Hong¹  Dun Hong¹  Bo Deng¹  Xin Bing Feng¹  Zheng Hua Hong¹  Guo Ping Cai¹ 

[1] Department of Orthopedics, Taizhou Hospital of Zhejiang Province, Wenzhou Medical University, 317000, Linhai, China;

关键词: Posterior lumbar interbody fusion;    Psoas hematoma;    Complication;   

DOI  :  10.1186/s12893-020-00942-1

来源: Springer

【 摘 要 】

BackgroundPsoas hematoma rarely occurs in patients with spondylolisthesis who undergo posterior lumbar interbody fusion (PLIF) surgery.Case presentationHere we reported a case of a 57-year-old male patient diagnosed with spondylolisthesis who underwent PLIF at the local hospital. Seven days post-surgery, abdominal pain occurred, and the pain in the right lower limb gradually increased. The computerized tomography (CT) indicated a formation of hematoma around the psoas muscle. Digital-subtraction angiography (DSA) suggested a vascular injury, a rupture of the right segmental artery of the lumbar vertebral level 4. The patient then received DSA vascular embolization, after which the lower lumbar segmental artery active bleeding was stopped. One month after discharge, the abdominal hematoma was gradually absorbed, and the pain in the waist, leg, and abdomen disappeared.ConclusionSymptoms such as abdominal pain, abdominal distension, and exacerbation of lower limb pain, may suggest the occurrence of psoas hematoma after PLIF. DSA vascular embolization is suggested as the first treatment approach for this type of complication.

【 授权许可】

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