Skip to main content
Log in

Nontraumatic Rupture of Lumbar Artery Causing an Intravertebral Body Pseudoaneurysm: Treatment by Transcatheter Embolization

  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

We report a case of nontraumatic rupture of the lumbar artery that led to a pseudoaneurysm in the vertebral body and massive retroperitoneal to retropleural hematoma. The pseudoaneurysm was successfully treated by endovascular embolization. To our knowledge, idiopathic rupture of the lumbar artery has been reported in a limited number of cases and pseudoaneurysm formation in the vertebral body has not been presented in the literature. The etiology of hemorrhage has been discussed based on CT, MRI, and three-dimensional rotational angiography.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1
Figure 2
Figure 3
Figure 4

Similar content being viewed by others

References

  1. Baird RJ, Doran ML (1964) The false aneurysm. Can Med Assoc J 91:281–284

    CAS  PubMed  PubMed Central  Google Scholar 

  2. Fomon JJ, Warren WD (1965) Late complications of peripheral arterial injuries. Arch Surg 91:610–616

    Article  CAS  PubMed  Google Scholar 

  3. Bole PV, Munda R, Purdy RT, et al. (1976) Traumatic pseudoaneurysm: a review of 32 cases. J Trauma 16:63–70

    Article  CAS  PubMed  Google Scholar 

  4. Sclafani SJ, Florence LO, Phillips TF, et al. (1987) Lumbar arterial injury: radiologic diagnosis and management. Radiology 165:709–714

    Article  CAS  PubMed  Google Scholar 

  5. Kalangos A, Walder B, Faidutti B (1998) Ruptured lumbar artery pseudoaneurysm: a diagnostic dilemma in retroperitoneal hemorrhage after abdominal trauma. J Trauma 45:829–832

    Article  CAS  PubMed  Google Scholar 

  6. Hulnick DH, Naidich DP, Balthazar EJ, et al. (1984) Lumbar artery pseudoaneurysm: CT demonstration. JCAT 8:570–572

    Article  CAS  PubMed  Google Scholar 

  7. Haydu P, Chang J, Knox G, et al. (1978) Transcatheter arterial embolization of a traumatic lumbar artery false aneurysm. Surgery 84:288–291

    CAS  PubMed  Google Scholar 

  8. Ikubo A, Komura M, Matoba N, et al. (1993) Lumbar artery pseudoaneurysm: an unusual cause of a retroperitoneal hematoma- report of a case. Surg Today 23:635–638

    Article  CAS  PubMed  Google Scholar 

  9. Udobi KF, Childs EW (2003) Traumatic lumbar artery pseudoaneurysm presenting with massive lower gastrointestinal tract bleeding. J Trauma 55:154–157

    Article  PubMed  Google Scholar 

  10. Peters M, Henny CP, ten Cate JW, et al. (1984) Lumbar arterial rupture secondary to iliopsoas hemorrhage in a hemophiliac patient. Acta Haematol 71:128–129

    Article  CAS  PubMed  Google Scholar 

  11. Wall B, Keller FS, Spalding DM, et al. (1986) Massive hemorrhage from a lumbar artery following percutaneous renal biopsy. Am J Kidney Dis 7:250–253

    Article  CAS  PubMed  Google Scholar 

  12. Kim KT, Kim BS, Park YH, et al. (1991) Embolic control of lumbar artery hemorrhage complicating percutaneous renal biopsy with a 3-F coaxial catheter system: case report. Cardiovasc Intervent Radiol 14:175–178

    Article  CAS  PubMed  Google Scholar 

  13. Jamison MH, Coward RA (1985) Severe hemorrhage from a lumbar artery as a complication of percutaneous renal biopsy. Postgrad Med J 61(711):69–70

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Ramsay DW, Marshall M (2002) Lumbar artery pseudoaneurysm following renal biopsy: treatment with ultrasound-guided thrombin injection. Austraras Radiol 46:201–203

    Article  PubMed  Google Scholar 

  15. Tanaka M, Nakahara S, Tanizaki M (1998) Aortic pseudoaneurysm in the L3-L4 disc space after lumbar disc surgery. A case report. J Bone Joint Surg Br 80:448–451

    Article  CAS  PubMed  Google Scholar 

  16. Papadoulas S, Konstantinou D, Kourea HP, et al. (2002) Vascular injury complicating lumbar disc surgery. A systematic review. Eur J Vasc Endovasc Surg. 24:189–195

    Article  CAS  PubMed  Google Scholar 

  17. Stevens KJ, Gregson RH, Kerslake RW (1997) False aneurysm of a lumbar artery following vertebral biopsy. Eur Spine J 6:205–207

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Maleux G, Vermylen J, Wilms G. (2002) Lumbar artery pseudoaneurysm and arteriovenous fistula as a complication of laparoscopic splenectomy: treatment by transcatheter embolization. Eur Radiol 12:1401–1404

    Article  CAS  PubMed  Google Scholar 

  19. Jain R, Kumar S, Phadke RV, et al. (2001) Intra-arterial embolization of lumbar pseudoaneurysm following percutaneous nephrolithotomy. Australas Radiol 45:383–386

    Article  CAS  PubMed  Google Scholar 

  20. Kornberg E (1988) Lumbar artery aneurysm with acute aortic occlusion resulting from chiropractic manipulation: a case report. Surgery 103:122–124

    CAS  PubMed  Google Scholar 

  21. Marty B, Sanchez LA, Wain RA, et al. (1998) Endovascular treatment of a ruptured lumbar artery aneurysm: case report and review of the literature. Ann Vasc Surg 12:379–383

    Article  CAS  PubMed  Google Scholar 

  22. Stewart JR, Barth KH, Williams GM (1983) Ruptured lumbar artery pseudoaneurysm: an unusual cause of retroperitoneal hemorrhage. Surgery 93:592–594

    CAS  PubMed  Google Scholar 

  23. Fedele FA, Ho G Jr., Dorman BA (1986) Pseudoaneurysm of the vertebral artery: a complication of rheumatoid cervical spine disease. Arthritis Rheum 29:136–141

    Article  CAS  PubMed  Google Scholar 

  24. Mitnick H, Jacobowitz G, Krinsky G, et al. (2004) Periaortitis: gadolinium-enhanced magnetic resonance imaging and response to therapy in four patients. Ann Vasc Surg 18:100–107

    Article  PubMed  Google Scholar 

  25. Ohara N, Miyata T, Sato O, et al. (2000) Aortic aneurysm in patients with autoimmune diseases treated with corticosteroids. Int Angiol 19:270–275

    CAS  PubMed  Google Scholar 

  26. Smith DC, Hirst AE (1979) Spontaneous aortic rupture associated with chronic steroid therapy for rheumatoid arthritis in two cases. Am J Roentgenol 132:271–273

    Article  CAS  Google Scholar 

  27. Diekerhof CH, Reedt Dortland RW, Oner FC, et al. (2002) Severe erosion of lumbar vertebral body because of abdominal aortic false aneurysm: report of two cases. Spine 27:382–384

    Article  Google Scholar 

  28. Siablis D, Panagopoulos C, Karamessini M, et al. (2003) Delayed diagnosis of a false aneurysm after lumbar arterial injury: treatment with endovascular embolization: a case report. Spine 28:71–73

    Google Scholar 

  29. Chan KT, Korivi N (2003) Lumbar artery pseudoaneurysm in traumatic spinal cord injury: a case report. Arch Phys Med Rehabil 84:455–457

    Article  PubMed  Google Scholar 

  30. Takahira N, Shindo M, Tanaka K, et al. (2001) Gluteal muscle necrosis following transcatheter angiographic embolization for retroperitoneal haemorrhage associated with pelvic fracture. Injury 32:27–32

    Article  CAS  PubMed  Google Scholar 

  31. Doppman JL, Di Chiro G (1976) Paraspinal muscle infarction. A painful complication of lumbar artery embolization associated with pathognomonic radiographic and laboratory findings. Radiology 119(3):609–613

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yoshinori Shigematsu.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shigematsu, Y., Kudoh, K., Nakasone, Y. et al. Nontraumatic Rupture of Lumbar Artery Causing an Intravertebral Body Pseudoaneurysm: Treatment by Transcatheter Embolization. Cardiovasc Intervent Radiol 29, 870–874 (2006). https://doi.org/10.1007/s00270-004-7187-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-004-7187-z

Keywords

Navigation