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  1. NTU Scholars
  2. 醫學院
  3. 醫學院附設醫院 (臺大醫院)
Please use this identifier to cite or link to this item: https://scholars.lib.ntu.edu.tw/handle/123456789/345871
Title: Iatrogenic left internal iliac artery perforation during lumbar discectomy
Authors: MING-HUI HUNG 
YA-JUNG CHENG 
KUANG-CHEGN CHAN 
Keywords: Discectomy, lumbar; Hypotension; Iliac artery, internal
Issue Date: 2009
Journal Volume: 47
Journal Issue: 4
Start page/Pages: 196-199
Source: Acta Anaesthesiologica Taiwanica 
Abstract: 
Iatrogenic intra-abdominal vascular injury can result from lumbar discectomy via the posterior approach. Although it is well known and documented in the literature, few anesthesiologists have personal experience with this life-threatening incident. Here, we report a patient who sustained perforation of the left internal iliac artery at the L4-5 level during posterior lumbar discectomy. The patient experienced refractory hypotension with tachycardia at the end of surgery, even with prompt fluid resuscitation and medical treatment. Abdominal distension and tenderness of the left lower abdominal quadrant were also noted. Emergency laparotomy was performed by the consulting vascular surgeon and revealed perforation of the left internal iliac artery. The vascular injury was successfully repaired. It is important that, as anesthesiologists, we must be aware of this potentially fatal complication. Prompt diagnosis and immediate laparotomy to control hemorrhage can result in favorable outcomes. ?2009 Taiwan Society of Anesthesiologists.
URI: http://www.scopus.com/inward/record.url?eid=2-s2.0-75149139920&partnerID=MN8TOARS
http://scholars.lib.ntu.edu.tw/handle/123456789/345871
DOI: 10.1016/S1875-4597(09)60054-0
SDG/Keyword: dopamine; fentanyl; rocuronium; sevoflurane; thiopental; abdominal distension; abdominal pain; adult; artery perforation; article; case report; echography; emergency surgery; endotracheal intubation; female; fluid resuscitation; human; hypotension; iatrogenic disease; intervertebral diskectomy; laparotomy; laryngoscopy; left internal iliac artery perforation; lumbar disk hernia; retroperitoneal hematoma; tachycardia; vascular surgery
[SDGs]SDG3
Appears in Collections:醫學院附設醫院 (臺大醫院)

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臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

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