Intra-abdominal Application of Bone Cement for Uncontrollable Perivertebral Hemorrhage

Abstract

Extensive bleeding from the perivertebral space is a rare encountered problem in abdominal trauma surgery. In this report, we present a technique for the hemostasis of perivertebral hemorrhage apart from the conventional hemostatic measures in a patient with penetrating injury to the lumbar artery and tributaries. In order to construct a controlled compartment in the retroperitoneal perivertebral cavity, bone cement was plastered alongside the dissection plane near the vertebral wall and hemostasis was achieved. Bone cement application, therefore, may pose as an alternative hemostatic method for patients with uncontrollable bleeding in the perivertebral compartment.