Intraoperative rupture of tuberculous pseudoaneurysm associated with spinal tuberculosis: A case report and literature review

  • Haijun Tang Department of Spine and Osteopathic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning City, Guangxi Province, China
  • Yun Liu Department of Spine and Osteopathic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning City, Guangxi Province, China
  • Abu Moro Department of Spine and Osteopathic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning City, Guangxi Province, China http://orcid.org/0000-0001-7073-0568
  • Zengming Xiao Department of Spine and Osteopathic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning City, Guangxi Province, China
  • Xinli Zhan Department of Spine and Osteopathic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning City, Guangxi Province, China
Keywords: Spinal Tuberculosis, Tuberculous pseudo-aneurysm, Hilar fascia, Prevertebral fascia, Hypothermia

Abstract

Introduction: The increase in the incidence of tuberculosis in developing countries has resulted in increased reporting on more related complications. We report the successful management of an intraoperative spontaneous rupture of a tuberculous pseudo aneurysm associated with spinal tuberculosis.

Methodology: We report the case of a 66 years old woman diagnosed with spinal tuberculosis of the T3/T4 vertebrae. During an anterior approach surgical reconstruction for the degenerative vertebrae, massive hemorrhage was observed after the removal of a portion of the prevertebral fascia of the affected vertebrae. This led to the exploration of the hilar fascia for the possibility of hilar hemorrhage, and when no hemorrhage was observed, aneurysm rupture was suspected. A portion of the hilar fascia was then sutured to the prevertebral fascia and the hemorrhage was partially controlled.

Results: On the 32nd month post-operative follow-up, the symptoms of chest and back pain had disappeared and the tuberculous lesion eradicated.

Conclusion: Presently, there are few reports on the successful treatment of intraoperative spontaneous rupture of tuberculous pseudoaneurysms. We therefore report on the successful management of such a case.

Published
2019-02-28
How to Cite
1.
Tang H, Liu Y, Moro A, Xiao Z, Zhan X (2019) Intraoperative rupture of tuberculous pseudoaneurysm associated with spinal tuberculosis: A case report and literature review. J Infect Dev Ctries 13:174-178. doi: 10.3855/jidc.10707
Section
Case Reports