Fatal hemorrhage following sacroiliac joint fusion surgery: A case report.

Détails

ID Serval
serval:BIB_5F6D5A82AEE7
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Fatal hemorrhage following sacroiliac joint fusion surgery: A case report.
Périodique
Legal medicine
Auteur(s)
Palmiere C., Augsburger M., Del Mar Lesta M., Grabherr S., Borens O.
ISSN
1873-4162 (Electronic)
ISSN-L
1344-6223
Statut éditorial
Publié
Date de publication
05/2017
Peer-reviewed
Oui
Volume
26
Pages
102-105
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
PDF: Short Communication
Résumé
Threaded pins and wires are commonly used in orthopedic practice and their migration intra- or post-operatively may be responsible for potentially serious complications. Vascular and visceral injury from intra-pelvic pin or guide-wire migration during or following hip surgery has been reported frequently in the literature and may result in progression through soft tissues with subsequent perforation of organs and vessels. In this report, we describe an autopsy case involving a 40-year old man suffering from chronic low back pain due to sacroiliac joint disruption. The patient underwent minimally invasive sacroiliac joint arthrodesis. Some intra-operative bleeding was noticed when a drill was retrieved, though the patient died postoperatively. Postmortem investigations allowed the source of bleeding to be identified (a perforation of a branch of the right internal iliac artery) and a potentially toxic tramadol concentration in peripheral blood to be measured.

Mots-clé
Adult, Autopsy, Fatal Outcome, Foreign-Body Migration, Hemorrhage/complications, Humans, Magnetic Resonance Angiography, Male, Sacroiliac Joint/surgery, Spinal Fusion/adverse effects, Arthrodesis, Foreign Body Migration, Postmortem angiography, Sacroiliac joint, Tramadol
Pubmed
Web of science
Création de la notice
21/03/2017 14:44
Dernière modification de la notice
20/08/2019 14:17
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