A Wandering Intravascular Scalpel Fragment After Lumbar Discectomy: A Case Report
TURKISH NEUROSURGERY, cilt.24, sa.5, ss.774-777, 2014 (SCI-Expanded, Scopus, TRDizin)
- 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.