Superior Mesenteric Artery Dissection After Lumbar Puncture.

hemoperitoneum lumbar puncture retroperitoneal bleed spinal tap superior mesenteric artery dissection

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
02 Apr 2020
Historique:
entrez: 7 5 2020
pubmed: 7 5 2020
medline: 7 5 2020
Statut: epublish

Résumé

We hereby present a case of iatrogenic dissection of the superior mesenteric artery dissection in a 63-year-old female undergoing a lumbar puncture (LP). She presented with severe diffused abdominal pain accompanied by lower back pain, nausea and vomiting a few hours after undergoing an LP due to ongoing headaches. Abdominal CT showed evidence of hemoperitoneum. She was then transferred to another facility and while in route received one unit of packed red blood cellsdue to drop in hemoglobin levels from 15 to 11 gm/dl. Physicians should consider the possibility of arterial variations and the level at which spinal tap is performed during interventions. Acute abdominal pain is a significant, common complaint that should be appropriately investigated.

Identifiants

pubmed: 32373410
doi: 10.7759/cureus.7507
pmc: PMC7195201
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e7507

Informations de copyright

Copyright © 2020, Ramirez et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Luz M Ramirez (LM)

Pulmonology and Critical Care, Benemerita Universidad Autonoma De Puebla, Puebla, MEX.

Sebastian Casillas (S)

Medicine, Dorrington Medical Associates, Houston, USA.

Hussein Berjaoui (H)

Medicine, Dorrington Medical Associates, Houston, USA.
Medicine, Beirut Arab University, Beirut, LBN.

Joseph Varon (J)

Critical Care, United General Hospital, Houston, USA.
Critical Care, University of Texas Health Science Center, Houston, USA.

Salim Surani (S)

Internal Medicine, Texas A&M Health Science Center, Bryan, USA.
Internal Medicine, Corpus Christi Medical Center, Corpus Christi, USA.
Internal Medicine, University of North Texas, Dallas, USA.

Classifications MeSH