ENDOVASCULAR MANAGEMENT OF TRAUMATIC LUMBAR ARTERY HEMORRHAGE FOLLOWING VERTEBRAL BURST FRACTURE IN NONAGENARIAN.
Keywords:
Lumbar artery injury, retroperitoneal haemorrhage, geriatric trauma, vertebral fracture, transcatheter arterial embolizationAbstract
This report describes a case of lumbar artery haemorrhage secondary to vertebral fracture in an elderly patient treated with emergent endovascular embolization. A 91-year-old woman presented after a fall with hypotension and back pain. Initial Focused Assessment with Sonography for Trauma (FAST) was negative. Contrast-enhanced computed tomography revealed multilevel vertebral fractures, active extravasation from the right L3 lumbar artery, and a large retroperitoneal hematoma. Emergency angiography confirmed active bleeding. Super-selective embolization using a Gelfoam-coil sandwich technique achieved complete haemostasis. The patient’s hemodynamic status stabilized, and she recovered without further complications. This case highlights the importance of contrast-enhanced CT and the effectiveness of transcatheter arterial embolization in geriatric trauma.
Key words: Lumbar artery injury, retroperitoneal haemorrhage, geriatric trauma, vertebral fracture, transcatheter arterial embolization
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