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Huge Retroperitoneal Hematoma Following Oblique Lumbar Interbody Fusion
Jong Yang Oh1, Ji-Hoon Seong2, Jin-Sung Kim2, Choon Keun Park3
1Saeng Saeng Hospital, Bucheon, Korea
2Seoul St. Mary's Hospital, Seoul, Korea
3Suwon Wiltse Memorial Hospital, Suwon, Korea
Correspondence :  Jin-Sung Kim ,Tel: +82-2-2258-6128, Fax: +82-2-594-4248, Email: mddavidk@gmail.com
Received: February 15, 2017  Revised: May 23, 2017   Accepted: May 24, 2017
Abstract
A 64-year-old man who had lumbar spinal stenosis underwent oblique lumbar interbody fusion (OLIF) with cortical screw fixation at the L2-3, L3-4, and L4-5 levels. During the operation, there was no event of serious surgical bleeding. After the operation, he complained of severe flank pain and back pain. A computerized tomography (CT) scan identified a huge amount of retroperitoneal hematoma compressing peritoneum and the patient underwent exploration immediately. There was active arterial bleeding at the drain puncture site. The active arterial bleeding was controlled and the retroperitoneal hematoma was removed. The patient’s symptoms were recovered after the second operation. A huge amount of retroperitoneal hematoma after OLIF requiring reoperation is rare. Meticulous bleeding control and repeated inspection of the drain puncture site are critical prior to wound closure. In addition, for patients presenting with severe pain after operation, rapid evaluation using CT and second operation is required as soon as possible.
KeyWords: Oblique lumbar interbody fusion; Retroperitoneal hematoma; Postoperative bleeding; Reoperation
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Huge Retroperitoneal Hematoma Following Oblique Lumbar Interbody Fusion  2017 June;2(1)
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