Traumatic lumbar artery rupture after lumbar spinal XXXX causing hypovolemic shock: An endovascular treatment.

@entity1 @entity174 @entity548 @entity1410 @entity1344 @entity1317 @entity451 @entity130
Recently, we observed a case of lumbar @entity1317 after @entity130 , which was treated by endovascular embolization. A 67-year-old @entity1 who was injured in a traffic accident was brought to the emergency room. She was conscious and her hemodynamic condition was stable, but she had @entity451 below L1 dermatome. Contrast-enhanced computed tomography scan of abdomen and pelvis revealed @entity174 of L3/4 along with retroperitoneal @entity1410 . However, there was no evidence of @entity130 in both thoracic and abdominal cavity. At that time, her blood pressure suddenly decreased to 60/40 mmHg and her mental status deteriorated. Also, her hemoglobin level was 5.4 g/dl. While her hemodynamic condition stabilized with massive fluid resuscitation including blood transfusion, an angiography was immediately performed to look for and embolize site of retroperitoneal @entity548 . On the angiographic images, there was an active extravasation from ruptured left 3rd lumbar artery, and we performed complete embolization with GELFOAM and coil. Lumbar @entity1317 after @entity130 is rare and endovascular treatment is useful in case of @entity1344 .
