Ramirez Luz M, Casillas Sebastian, Berjaoui Hussein, Varon Joseph, Surani Salim
Pulmonology and Critical Care, Benemerita Universidad Autonoma De Puebla, Puebla, MEX.
Medicine, Dorrington Medical Associates, Houston, USA.
Cureus. 2020 Apr 2;12(4):e7507. doi: 10.7759/cureus.7507.
We hereby present a case of iatrogenic dissection of the superior mesenteric artery dissection in a 63-year-old female undergoing a lumbar puncture (LP). She presented with severe diffused abdominal pain accompanied by lower back pain, nausea and vomiting a few hours after undergoing an LP due to ongoing headaches. Abdominal CT showed evidence of hemoperitoneum. She was then transferred to another facility and while in route received one unit of packed red blood cellsdue to drop in hemoglobin levels from 15 to 11 gm/dl. Physicians should consider the possibility of arterial variations and the level at which spinal tap is performed during interventions. Acute abdominal pain is a significant, common complaint that should be appropriately investigated.
我们在此报告一例63岁女性在接受腰椎穿刺（LP）时发生医源性肠系膜上动脉夹层的病例。她因持续头痛接受LP数小时后，出现严重的弥漫性腹痛，并伴有下背部疼痛、恶心和呕吐。腹部CT显示有腹腔积血的迹象。随后她被转至另一机构，途中因血红蛋白水平从15克/分升降至11克/分升而接受了1单位浓缩红细胞输血。医生在进行干预时应考虑动脉变异的可能性以及进行腰椎穿刺的水平。急性腹痛是一种重要且常见的主诉，应进行适当的检查。
