A Wandering Intravascular Scalpel Fragment After Lumbar Discectomy: A Case Report


ARAS A. B., ÖZKAN Ö. F., ALAR T., Ozkan A., Arik M., Kosar S., ...Daha Fazla

TURKISH NEUROSURGERY, cilt.24, sa.5, ss.774-777, 2014 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 24 Sayı: 5
  • Basım Tarihi: 2014
  • Doi Numarası: 10.5137/1019-5149.jtn.9233-13.0
  • Dergi Adı: TURKISH NEUROSURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.774-777
  • Anahtar Kelimeler: Iliac vein, Lumbar discectomy, Pulmonary artery, Scalpel
  • Çanakkale Onsekiz Mart Üniversitesi Adresli: Evet

Özet

Vascular complications after lumbar discectomy are rarely seen. We present a unique and potentially life-threatening postoperative complication from this procedure. A 27-year-old man was admitted to our emergency vascular unit 1 day after a lumbar discectomy, during which a scalpel blade fragmented and a part was lost. Radiological images of the patient were performed and a broken scalpel blade was located anterior to the sacrum. An anterior laparotomy was performed which identified a mass within the left iliac vein that migrated suddenly to the inferior vena cava. An emergency angiography was performed, by which time the scalpel blade had ascended to the right-sided inferior pulmonary artery. It was subsequently removed via a right lateral thoracotomy.