Journal of Korean Neurosurgical Society

  • 제45권3호
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  • Pages.192-195
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  • 2009
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Huge Psoas Muscle Hematoma due to Lumbar Segmental Vessel Injury Following Percutaneous Endoscopic Lumbar Discectomy

  • Kim, Hyeun-Sung (Department of Neurosurgery, Mokpo HanKook Hospital) ;
  • Ju, Chang-Il (Department of Neurosurgery, School of Medicine, Chosun University) ;
  • Kim, Seok-Won (Department of Neurosurgery, School of Medicine, Chosun University) ;
  • Kim, Jong-Gue (Department of Neurosurgery, School of Medicine, Chosun University)
  • 발행 : 2009.03.28
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초록

We present a case of an acute psoas muscle hematoma following percutaneous endoscopic lumbar discectomy. A 60-year-old female who presented with far lateral lumbar disc herniation underwent endoscopic discectomy on the right side at the L4-5 level. On the second postoperative day, the patient complained of severe right flank and leg pain and her blood pressure decreased. A computed tomography scan showed a large acute psoas muscle hematoma at right L4-5 level. The patient was transfused with packed red blood cells and placed at absolute bed rest. After observing the patient in intensive care, the severe flank and leg pain subsided, but the mild back pain persisted. Although percutaneous endoscopic lumbar discectomy is an effective minimally invasive surgical technique for the treatment of lumbar disc herniation, this case highlights the inherent risks of acute lumbar segmental vessel injury.

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