Rare retroperitoneal hematoma after percutaneous endoscopic lumbar discectomy: a case report and literature review.

ABSTRACT:

Background

Percutaneous endoscopic lumbar discectomy (PELD) has emerged as a first-line surgical option for the management of lumbar disc herniation (LDH). However, postoperative complications remain a concern. We present a rare case of retroperitoneal hematoma (RPH) following PELD.

Case description

A 79-year-old woman who underwent PELD presented with pain in the left inguinal region, lower back, and abdomen, accompanied by hypotension and tachycardia. Abdominal computed tomography (CT) revealed a left-sided RPH. Digital subtraction angiography (DSA) identified a rupture of a left fourth lumbar segmental artery branch. Emergency coil embolization was performed to control the bleeding. Four weeks later, due to the persistence of the hematoma, hematoma evacuation was carried

SUBMITTER: Shao H 

PROVIDER: S-EPMC12003379 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature