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Embolisation of iatrogenic lumbar artery bleed causing psoas haematoma following elective lumbar puncture

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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… Click to show full 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.

Keywords: lumbar; bleed causing; bleed; lumbar puncture; lumbar artery; psoas haematoma

Journal Title: BMJ Case Reports
Year Published: 2022

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