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요추부 후방 골유합술시 제4요추 분절동맥의 손상에 의해 발생된 후복막하 혈종의 코일 색전술 치험 1례
이방훈,염진영,최승원,김선환,고현송 대한척추신경외과학회 2004 Neurospine Vol.1 No.1
In spine sugery, iatrogenic vascular injury is unusual, and most common vascular injury is said to be a tear of the left common iliac artery. We report a case of retroperitoneal hematoma from lumbar segmental artery injury after posterior lumbar fusion and pedicle screw fixation. This 60-year-old woman presented with 6 months history of low back pain and radiating pain to the left lower leg. She complained of claudication after 10 meters walking due to spondylolisthesis and spinal stenosis at L2-L5 level. She underwent multiple total laminectomy, posterior lumbar inter-body fusion, and transpedicular screw at L2-L5. During operation there was not evidence of complications such as bleeding. She complained of abdominal pain on post-operation I day and showed tenderness on left upper quadrant. Hemoglobin was 8.4 g/dL on postoperative laboratory examination. Abdominal CT scan revealed retroperitoneal hematoma. We performed angiography for evaluation of hematoma and found extravasation of dye at segmental artery of L4 level. We embolized the bleeding artery with coil successfully. Her postoperative abdominal pain and tenderness were relieved after then and discharged without pain or neurological deficit.
특별강연 및 일반연제 발표 : CMV 항체 양성 반응을 가진 신장 이식 환자에서 pp(65) 항원 혈증 감사에 의한 CMV 감염의 추적 관찰
이방훈 ( Lee Bang Hun ),오하영 ( O Ha Yeong ),허우성 ( Heo U Seong ),김춘관 ( Kim Chun Gwan ),김신우 ( Kim Sin U ),이혁 ( Lee Hyeog ),김성민 ( Kim Seong Min ),백경란 ( Baeg Gyeong Lan ),이남용 ( Lee Nam Yong ),김성주 ( Kim Seong 대한신장학회 1999 춘계학술대회 초록집 Vol.18 No.2