A Rare Case of Pseudoaneurysm and an Arteriovenous Fistula of the Lumbar Artery Treated by Endovascular Intervention

Abstract

Traumatic lumbar artery injuries are quite uncommon, and arteriovenous fistula (AVF) lesions are also rare. The clinical symptoms associated with AVF of the lumbar artery are often vague and non-specific and can be masked by symptoms due to the spinal cord injury. Therefore, AVF of the lumbar artery can often be missed if the performance of a contrast-enhanced computed tomography (CECT) scan is absent. In this article, we portrait a case of post-traumatic lumbar artery AVF along with pseudoaneurysm in a 40-year-old who suffered from pain in the right lumbar region. After endovascular intervention therapy for one month, the Visual Analogue Scale (VAS) was 1 in comparison with 8 prior to treatment. Thus, an endovascular intervention should be considered an effective treatment option for AVF and pseudoaneurysm of the LA.