Misdiagnosis of Hemothorax as Atelectasis After Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery

Won Jun Seo; Won Sang Lee; Yu Sun Choi; Myeong Jong Lee; Kyu Chang Lee; Hye Young Kim

doi:doi:10.11648/j.ja.20150303.11

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Misdiagnosis of Hemothorax as Atelectasis After Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery

Won Jun Seo, Won Sang Lee, Yu Sun Choi, Myeong Jong Lee, Kyu Chang Lee, Hye Young Kim

Published in Journal of Anesthesiology (Volume 3, Issue 3)

Received: 12 July 2015 Accepted: 17 July 2015 Published: 31 July 2015

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Abstract

This report describes a case in which a patient presented with hemothorax after a minimally invasive transforaminal lumbar interbody fusion (mTLIF) was performed under general anesthesia. Diagnosis of hemothorax was delayed because it is a rare complication of mTLIF. Following surgery, the patient was diagnosed with total atelectasis by a respiratory physician in the intensive care unit. The atelectasis did not improve following ventilator care and bronchial washing under bronchoscopic guidance. Chest radiography revealed a hemothorax, chest tube drainage was performed, and the patient’s condition improved. Hemothorax is rare complication of mTLIF. However, anesthesiologists should carefully observe the symptoms and the vital signs of the patient for this possibility.

Published in	Journal of Anesthesiology (Volume 3, Issue 3)
DOI	10.11648/j.ja.20150303.11
Page(s)	10-13
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Atelectasis, Hemothorax, Spine

References

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[2]	Dhall SS, Wang MY, Mummaneni PV. Clinical and radiographic comparison of mini-open transforaminal lumbar interbody fusion with open transforaminal lumbar interbody fusion in 42 patients with long-term follow-up. J Neurosurg Spine 2008; 9: 560–5.
[3]	Peng CW, Yue WM, Poh SY, Yeo W, Tan SB. Clinical and radiological outcomes of minimally invasive versus open transforaminal lumbar interbody fusion. Spine (Phila Pa 1976) 2009; 34: 1385–9.
[4]	Scheufler KM, Dohmen H, Vougioukas VI. Percutaneous transforaminal lumbar interbody fusion for the treatment of degenerative lumbar instability. Neurosurgery 2007; 60(4 Suppl 2): 203–12.
[5]	Schizas C, Tzinieris N, Tsiridis E, Kosmopoulos V. Minimally invasive versus open transforaminal lumbar interbody fusion: evaluating initial experience. Int Orthop 2009; 33: 1683–8.
[6]	Shunwu F, Xing Z, Fengdong Z, Xiangqian F. Minimally invasive transforaminal lumbar interbody fusion for the treatment of degenerative lumbar diseases. Spine (Phila Pa 1976) 2010; 35: 1615–20.
[7]	Oh HS, Kim JS, Lee SH, Lim WC, Hong SW. Comparison between the accuracy of percutaneous and open pedicle screw fixations in lumbosacral fusion. Spine J 2013; 13: 1751-7.
[8]	Lau D, Lee JG, Han SJ, Lu DC, Chou D. Complications and perioperative factors associated with learning the technique of minimally invasive transforaminal lumbar interbody fusion (TLIF). J Clin Neurosci 2011; 18: 624–7.
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[11]	Yao FF, Malhotra V, Fontes ML. Yao & Artusio's Anesthesiology. 7th ed. Philadelphia, Lippincott Williams & Wilkins. 2012, pp 1224–6.

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APA Style

Won Jun Seo, Won Sang Lee, Yu Sun Choi, Myeong Jong Lee, Kyu Chang Lee, et al. (2015). Misdiagnosis of Hemothorax as Atelectasis After Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery. International Journal of Anesthesia and Clinical Medicine, 3(3), 10-13. https://doi.org/10.11648/j.ja.20150303.11

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ACS Style

Won Jun Seo; Won Sang Lee; Yu Sun Choi; Myeong Jong Lee; Kyu Chang Lee, et al. Misdiagnosis of Hemothorax as Atelectasis After Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery. Int. J. Anesth. Clin. Med. 2015, 3(3), 10-13. doi: 10.11648/j.ja.20150303.11

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AMA Style

Won Jun Seo, Won Sang Lee, Yu Sun Choi, Myeong Jong Lee, Kyu Chang Lee, et al. Misdiagnosis of Hemothorax as Atelectasis After Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery. Int J Anesth Clin Med. 2015;3(3):10-13. doi: 10.11648/j.ja.20150303.11

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@article{10.11648/j.ja.20150303.11,
  author = {Won Jun Seo and Won Sang Lee and Yu Sun Choi and Myeong Jong Lee and Kyu Chang Lee and Hye Young Kim},
  title = {Misdiagnosis of Hemothorax as Atelectasis After Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {3},
  number = {3},
  pages = {10-13},
  doi = {10.11648/j.ja.20150303.11},
  url = {https://doi.org/10.11648/j.ja.20150303.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ja.20150303.11},
  abstract = {This report describes a case in which a patient presented with hemothorax after a minimally invasive transforaminal lumbar interbody fusion (mTLIF) was performed under general anesthesia. Diagnosis of hemothorax was delayed because it is a rare complication of mTLIF. Following surgery, the patient was diagnosed with total atelectasis by a respiratory physician in the intensive care unit. The atelectasis did not improve following ventilator care and bronchial washing under bronchoscopic guidance. Chest radiography revealed a hemothorax, chest tube drainage was performed, and the patient’s condition improved. Hemothorax is rare complication of mTLIF. However, anesthesiologists should carefully observe the symptoms and the vital signs of the patient for this possibility.},
 year = {2015}
}

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TY  - JOUR
T1  - Misdiagnosis of Hemothorax as Atelectasis After Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery
AU  - Won Jun Seo
AU  - Won Sang Lee
AU  - Yu Sun Choi
AU  - Myeong Jong Lee
AU  - Kyu Chang Lee
AU  - Hye Young Kim
Y1  - 2015/07/31
PY  - 2015
N1  - https://doi.org/10.11648/j.ja.20150303.11
DO  - 10.11648/j.ja.20150303.11
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 10
EP  - 13
PB  - Science Publishing Group
SN  - 2997-2698
UR  - https://doi.org/10.11648/j.ja.20150303.11
AB  - This report describes a case in which a patient presented with hemothorax after a minimally invasive transforaminal lumbar interbody fusion (mTLIF) was performed under general anesthesia. Diagnosis of hemothorax was delayed because it is a rare complication of mTLIF. Following surgery, the patient was diagnosed with total atelectasis by a respiratory physician in the intensive care unit. The atelectasis did not improve following ventilator care and bronchial washing under bronchoscopic guidance. Chest radiography revealed a hemothorax, chest tube drainage was performed, and the patient’s condition improved. Hemothorax is rare complication of mTLIF. However, anesthesiologists should carefully observe the symptoms and the vital signs of the patient for this possibility.
VL  - 3
IS  - 3
ER  -

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Author Information

Won Jun Seo

Department of Anesthesiology and Pain Medicine, Konkuk University Medical School, Chungju, Korea
Won Sang Lee

Department of Anesthesiology and Pain Medicine, Konkuk University Medical School, Chungju, Korea
Yu Sun Choi

Department of Anesthesiology and Pain Medicine, Konkuk University Medical School, Chungju, Korea
Myeong Jong Lee

Department of Anesthesiology and Pain Medicine, Konkuk University Medical School, Chungju, Korea
Kyu Chang Lee

Department of Anesthesiology and Pain Medicine, Konkuk University Medical School, Chungju, Korea
Hye Young Kim

Department of Anesthesiology and Pain Medicine, Konkuk University Medical School, Chungju, Korea

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Plain Text BibTeX RIS

APA Style

Won Jun Seo, Won Sang Lee, Yu Sun Choi, Myeong Jong Lee, Kyu Chang Lee, et al. (2015). Misdiagnosis of Hemothorax as Atelectasis After Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery. International Journal of Anesthesia and Clinical Medicine, 3(3), 10-13. https://doi.org/10.11648/j.ja.20150303.11

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ACS Style

Won Jun Seo; Won Sang Lee; Yu Sun Choi; Myeong Jong Lee; Kyu Chang Lee, et al. Misdiagnosis of Hemothorax as Atelectasis After Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery. Int. J. Anesth. Clin. Med. 2015, 3(3), 10-13. doi: 10.11648/j.ja.20150303.11

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AMA Style

Won Jun Seo, Won Sang Lee, Yu Sun Choi, Myeong Jong Lee, Kyu Chang Lee, et al. Misdiagnosis of Hemothorax as Atelectasis After Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery. Int J Anesth Clin Med. 2015;3(3):10-13. doi: 10.11648/j.ja.20150303.11

Copy | Download

@article{10.11648/j.ja.20150303.11,
  author = {Won Jun Seo and Won Sang Lee and Yu Sun Choi and Myeong Jong Lee and Kyu Chang Lee and Hye Young Kim},
  title = {Misdiagnosis of Hemothorax as Atelectasis After Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {3},
  number = {3},
  pages = {10-13},
  doi = {10.11648/j.ja.20150303.11},
  url = {https://doi.org/10.11648/j.ja.20150303.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ja.20150303.11},
  abstract = {This report describes a case in which a patient presented with hemothorax after a minimally invasive transforaminal lumbar interbody fusion (mTLIF) was performed under general anesthesia. Diagnosis of hemothorax was delayed because it is a rare complication of mTLIF. Following surgery, the patient was diagnosed with total atelectasis by a respiratory physician in the intensive care unit. The atelectasis did not improve following ventilator care and bronchial washing under bronchoscopic guidance. Chest radiography revealed a hemothorax, chest tube drainage was performed, and the patient’s condition improved. Hemothorax is rare complication of mTLIF. However, anesthesiologists should carefully observe the symptoms and the vital signs of the patient for this possibility.},
 year = {2015}
}

Copy | Download

TY  - JOUR
T1  - Misdiagnosis of Hemothorax as Atelectasis After Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery
AU  - Won Jun Seo
AU  - Won Sang Lee
AU  - Yu Sun Choi
AU  - Myeong Jong Lee
AU  - Kyu Chang Lee
AU  - Hye Young Kim
Y1  - 2015/07/31
PY  - 2015
N1  - https://doi.org/10.11648/j.ja.20150303.11
DO  - 10.11648/j.ja.20150303.11
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 10
EP  - 13
PB  - Science Publishing Group
SN  - 2997-2698
UR  - https://doi.org/10.11648/j.ja.20150303.11
AB  - This report describes a case in which a patient presented with hemothorax after a minimally invasive transforaminal lumbar interbody fusion (mTLIF) was performed under general anesthesia. Diagnosis of hemothorax was delayed because it is a rare complication of mTLIF. Following surgery, the patient was diagnosed with total atelectasis by a respiratory physician in the intensive care unit. The atelectasis did not improve following ventilator care and bronchial washing under bronchoscopic guidance. Chest radiography revealed a hemothorax, chest tube drainage was performed, and the patient’s condition improved. Hemothorax is rare complication of mTLIF. However, anesthesiologists should carefully observe the symptoms and the vital signs of the patient for this possibility.
VL  - 3
IS  - 3
ER  -

Copy | Download