Lumbosacral Plexopathy Due to Common Iliac Artery Aneurysm Misdiagnosed as Intervertebral Disc Herniation

• Published in: The Journal of emergency medicine Vol. 40; no. 4; pp. 388 - 390
• Main Authors: You, Je Sung, MD, Park, Yoo Seok, MD, Park, Saehwan, MD, Chung, Sung Pil, MD, PHD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.04.2011
• Subjects: Abdominal Pain - etiology; Adult; Diagnostic Errors; Emergency; Humans; iliac aneurysm; Iliac Aneurysm - complications; Iliac Aneurysm - diagnostic imaging; Intervertebral Disc Displacement - diagnostic imaging; intervertebral disc herniation; Lumbar Vertebrae - diagnostic imaging; lumbosacral plexopathy; Lumbosacral Plexus; magnetic resonance imaging; Male; Peripheral Nervous System Diseases - etiology; Radiography; Sacrum - diagnostic imaging; iliac aneurysm; magnetic resonance imaging; lumbosacral plexopathy; intervertebral disc herniation
• ISSN: 0736-4679; 2352-5029
• DOI: 10.1016/j.jemermed.2007.11.070

Abstract We report a case of lumbosacral plexopathy caused by an isolated aneurysm in the common iliac artery. The patient presented with low back and buttock pain radiating to the right leg and numbness in the L5 and S1 dermatomes. A computed tomography scan showed an aneurysm of the right common iliac artery. This case serves to increase awareness of the possibility of lumbosacral plexopathy in patients with symptoms of a prolapsed intervertebral disc.