Lumbar artery aneurysm: A rare manifestation of vasculopathy in a patient with neurofibromatosis type 1

Ellen Kirstine Overgaard; Nicolaj Lyhne Christensen; Maria Arvad Serifi; Radu Lucian Vijdea; Johnny Kent Christensen

doi:10.1016/j.radcr.2019.12.012

Lumbar artery aneurysm: A rare manifestation of vasculopathy in a patient with neurofibromatosis type 1

Radiol Case Rep. 2020 Jan 14;15(3):277-281. doi: 10.1016/j.radcr.2019.12.012. eCollection 2020 Mar.

Authors

Ellen Kirstine Overgaard¹, Nicolaj Lyhne Christensen¹, Maria Arvad Serifi¹, Radu Lucian Vijdea¹, Johnny Kent Christensen¹

Affiliation

¹ Department of Radiology, Sygehus Lillebaelt - Kolding Sygehus, Sygehusvej 24, 6000 Kolding, Denmark.

Abstract

Lumbar artery aneurysms are rare but important to diagnose, since rupture can have serious consequences due to life-threatening hemorrhage. A 49-year-old male with Neurofibromatosis type 1 (NF-1) was admitted to the emergency room with abrupt onset of severe abdominal pain. Ultrasound examination was normal, noncontrast CT revealed a tapered retroperitoneal mass adjacent to the right psoas muscle. A multiphased contrast-enhanced CT scan raised suspicion of an arterial lumbar aneurysm and was confirmed by selective catheter based angiography. The patient underwent successful treatment with endovascular coiling and the patient was discharged within a few days after an uneventful course.

Keywords: Embolization; Endovascular; Lumbar artery aneurysm; Neurofibromatosis type 1.

Publication types

Case Reports