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

Psoas hematoma rarely occurs in patients with spondylolisthesis who undergo posterior lumbar interbody fusion (PLIF) surgery. Here 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 occur...

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Bibliographic Details
Published in:BMC surgery 2020-11, Vol.20 (1), p.279-279, Article 279
Main Authors: Deng, Bo, Hong, Hai Nan, Feng, Xin Bing, Hong, Zheng Hua, Cai, Guo Ping, Hong, Dun
Format: Article
Language:English
Subjects:
Abdomen
Angiography
Bleeding
Blood transfusions
Case Report
CAT scans
Complication
Computed tomography
Coronary vessels
Distension
Embolization
Health aspects
Hematoma
Hematoma - diagnostic imaging
Hematoma - etiology
Humans
Lumbar Vertebrae - diagnostic imaging
Lumbar Vertebrae - surgery
Male
Middle Aged
Muscles
Pain
Patients
Posterior lumbar interbody fusion
Potassium
Psoas hematoma
Psoas muscle
Psoas Muscles - diagnostic imaging
Spinal Fusion - adverse effects
Spondylolisthesis
Spondylolisthesis - surgery
Subtraction
Surgery
Veins & arteries
Vertebrae
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Summary:Psoas hematoma rarely occurs in patients with spondylolisthesis who undergo posterior lumbar interbody fusion (PLIF) surgery. Here 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. Symptoms 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.
ISSN:1471-2482
1471-2482
DOI:10.1186/s12893-020-00942-1