Muhammet Arif OZBEK, Nazli Cakici OKSUZ, Ahmet Tulgar BAŞAK
Demiroğlu Bilim Üniversitesi Florence Nightingale Tıp Dergisi - 2026;12(2):111-116
Vascular injury is a rare but potentially life-threatening complication of lumbar far lateral microdiscectomy. It requires early diagnosis and effective treatment. We hereby present a case of a 21-year-old male patient admitted to our clinic with complaints of low-back and left leg pain that had not resolved after three months despite medical treatments. Our intervention with far lateral L4-5 microdiscectomy under general anesthesia was intraoperatively complicated by sudden aberrant bleeding. Bleeding was controlled using hemostatic materials. The surgical intervention was discontinued, and an abdominal ultrasonography was performed while the patient was on the operating table. Upon suspicion of retroperitoneal hemorrhage, abdominal computed tomography (CT) and CT angiography were performed while the patient was intubated. The findings indicated the presence of a pseudoaneurysm at the left common iliac artery, which was treated with immediate endovascular stenting. In conclusion, early recognition of such vascular injuries and intervention by taking appropriate decisions after a multidisciplinary approach can prevent mortality and morbidity.
