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Lumbar Intradiscal Invaginated Inferior Vena Cava Aneurysm
- Source :
- NMC Case Report Journal
- Publication Year :
- 2018
- Publisher :
- Japan Neurosurgical Society, 2018.
-
Abstract
- The objective of this study is to present a rare case of an invaginated inferior vena cava (IVC) aneurysm in the lumbar intradiscal space. A 73-year-old woman with lower back pain and bilateral lower extremity swelling presented to the clinic. She had undergone spinal surgery performed thrice at the same site (L4–L5) in another hospital and a separate posterolateral fusion surgery procedure 3 years previously. On plain radiography, pseudarthrosis was observed at L4–L5 segment. Contrast computed tomography (CT) imaging revealed a dilatation of the IVC in the intradiscal space of L4–L5. On the anterior side, anterior discectomy was performed. Following insertion of the allograft bone chip and cage, the invaginated IVC aneurysm was repositioned. Implant removal and screw fixation were performed posteriorly. Post-surgery, the patient’s lower back pain improved, and the start of anticoagulation treatment after vascular evaluation was planned. Although there have been numerous case reports of patients with intradiscal cysts or gas requiring surgical treatment, there have not yet been any reports of those with invaginated IVC in an intradiscal space. It is important to provide the appropriate treatment based on a thorough prior understanding of the patient’s anatomy.
- Subjects :
- medicine.medical_specialty
invagination
medicine.medical_treatment
Case Report
lumbar intradiscal space
Inferior vena cava
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
Lumbar
Aneurysm
Discectomy
medicine
Back pain
business.industry
IVC aneurysm
Allograft bone
pseudarthrosis
Invagination
medicine.disease
Surgery
Pseudarthrosis
medicine.vein
cardiovascular system
medicine.symptom
business
030217 neurology & neurosurgery
IVC reposition
Subjects
Details
- ISSN :
- 21884226
- Volume :
- 5
- Database :
- OpenAIRE
- Journal :
- NMC Case Report Journal
- Accession number :
- edsair.doi.dedup.....ab25d6b056a2f40f3602a65e64e7490e