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Embolisation of iatrogenic lumbar artery bleed causing psoas haematoma following elective lumbar puncture
Emmanuel Oladeji1, Kuran Rati2, Kamila Rakhimova2
1General Surgery, Epsom and Saint Helier Hospital NHS Trust, Carshalton, UK emmanuel.oladeji@nhs.net.
Abstract:
The case of a female patient in her 50s presenting as a surgical emergency with abdominal pain and a positive Obraztsova's sign. Seven days prior to the presentation, a lumbar puncture (LP) had been performed to investigate severe headaches and exclude a subarachnoid haemorrhage. The patient was subsequently found to have an acute lumbar arterial bleed causing haemodynamic instability and a psoas haematoma. An emergency lumbar artery embolisation procedure was performed by the interventional radiology department in order to stabilise the bleed. The patient made a full recovery prior to discharge.
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