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, ss.774-777, 2014 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 24 Konu: 5
  • Basım Tarihi: 2014
  • Doi Numarası: 10.5137/1019-5149.jtn.9233-13.0
  • Dergi Adı: TURKISH NEUROSURGERY
  • Sayfa Sayıları: ss.774-777

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.