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Spontaneous Lumbar Artery Injury Resulting in Retroperitoneal Hematoma Mimicking Abdominal Aortic Aneurysm Rupture

A 73-year-old woman, who had previously undergone endovascular aortic repair (EVAR), developed severe back pain while shoveling snow. Preoperative computed tomography (CT) revealed marked retroperitoneal hematoma around the abdominal aortic aneurysm (AAA) with extravasation of contrast media. Intrao...

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Autores principales: Nakai, Shingo, Uchida, Tetsuro, Kuroda, Yoshinori, Yamashita, Atsushi, Ohba, Eiichi, Mizumoto, Masahiro, Hayashi, Jun, Kobayashi, Kimihiro, Ochiai, Tomonori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8752927/
https://www.ncbi.nlm.nih.gov/pubmed/35082946
http://dx.doi.org/10.3400/avd.cr.21-00069
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author Nakai, Shingo
Uchida, Tetsuro
Kuroda, Yoshinori
Yamashita, Atsushi
Ohba, Eiichi
Mizumoto, Masahiro
Hayashi, Jun
Kobayashi, Kimihiro
Ochiai, Tomonori
author_facet Nakai, Shingo
Uchida, Tetsuro
Kuroda, Yoshinori
Yamashita, Atsushi
Ohba, Eiichi
Mizumoto, Masahiro
Hayashi, Jun
Kobayashi, Kimihiro
Ochiai, Tomonori
author_sort Nakai, Shingo
collection PubMed
description A 73-year-old woman, who had previously undergone endovascular aortic repair (EVAR), developed severe back pain while shoveling snow. Preoperative computed tomography (CT) revealed marked retroperitoneal hematoma around the abdominal aortic aneurysm (AAA) with extravasation of contrast media. Intraoperative angiography demonstrated spontaneous lumbar artery injury (SLI). The bleeding lumbar artery was embolized using lipiodol, and deteriorated hemodynamics were stabilized. SLI is rare and can mimic the clinical symptoms and CT findings of AAA rupture. Vascular surgeons should focus on the status of the aneurysmal sac and the possibility of another retroperitoneal disease to determine appropriate treatment options, despite successful EVAR for AAA.
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spelling pubmed-87529272022-01-25 Spontaneous Lumbar Artery Injury Resulting in Retroperitoneal Hematoma Mimicking Abdominal Aortic Aneurysm Rupture Nakai, Shingo Uchida, Tetsuro Kuroda, Yoshinori Yamashita, Atsushi Ohba, Eiichi Mizumoto, Masahiro Hayashi, Jun Kobayashi, Kimihiro Ochiai, Tomonori Ann Vasc Dis Case Report A 73-year-old woman, who had previously undergone endovascular aortic repair (EVAR), developed severe back pain while shoveling snow. Preoperative computed tomography (CT) revealed marked retroperitoneal hematoma around the abdominal aortic aneurysm (AAA) with extravasation of contrast media. Intraoperative angiography demonstrated spontaneous lumbar artery injury (SLI). The bleeding lumbar artery was embolized using lipiodol, and deteriorated hemodynamics were stabilized. SLI is rare and can mimic the clinical symptoms and CT findings of AAA rupture. Vascular surgeons should focus on the status of the aneurysmal sac and the possibility of another retroperitoneal disease to determine appropriate treatment options, despite successful EVAR for AAA. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2021-12-25 /pmc/articles/PMC8752927/ /pubmed/35082946 http://dx.doi.org/10.3400/avd.cr.21-00069 Text en © 2021 The Editorial Committee of Annals of Vascular Diseases. https://creativecommons.org/licenses/by/2.5/This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Nakai, Shingo
Uchida, Tetsuro
Kuroda, Yoshinori
Yamashita, Atsushi
Ohba, Eiichi
Mizumoto, Masahiro
Hayashi, Jun
Kobayashi, Kimihiro
Ochiai, Tomonori
Spontaneous Lumbar Artery Injury Resulting in Retroperitoneal Hematoma Mimicking Abdominal Aortic Aneurysm Rupture
title Spontaneous Lumbar Artery Injury Resulting in Retroperitoneal Hematoma Mimicking Abdominal Aortic Aneurysm Rupture
title_full Spontaneous Lumbar Artery Injury Resulting in Retroperitoneal Hematoma Mimicking Abdominal Aortic Aneurysm Rupture
title_fullStr Spontaneous Lumbar Artery Injury Resulting in Retroperitoneal Hematoma Mimicking Abdominal Aortic Aneurysm Rupture
title_full_unstemmed Spontaneous Lumbar Artery Injury Resulting in Retroperitoneal Hematoma Mimicking Abdominal Aortic Aneurysm Rupture
title_short Spontaneous Lumbar Artery Injury Resulting in Retroperitoneal Hematoma Mimicking Abdominal Aortic Aneurysm Rupture
title_sort spontaneous lumbar artery injury resulting in retroperitoneal hematoma mimicking abdominal aortic aneurysm rupture
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8752927/
https://www.ncbi.nlm.nih.gov/pubmed/35082946
http://dx.doi.org/10.3400/avd.cr.21-00069
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