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. , ...More

TURKISH NEUROSURGERY, vol.24, no.5, pp.774-777, 2014 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 24 Issue: 5
  • Publication Date: 2014
  • Doi Number: 10.5137/1019-5149.jtn.9233-13.0
  • Title of Journal : TURKISH NEUROSURGERY
  • Page Numbers: pp.774-777

Abstract

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.