Sonographic Diagnosis of a Thoracolumbar Fascia Hematoma after Surgical Microdiscectomy

Vincenzo Ricci, Arianna Pesaresi, Levent Özçakar · 2026

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Description

Vincenzo Ricci and two co-authors reported a 2026 case where ultrasound found a hidden bleed after back surgery. A 58-year-old woman had keyhole surgery for a slipped disc at the L4-L5 level. Her leg pain eased, but two weeks later she felt stiffness and swelling in her lower back. An exam found tender, swollen tissue beside the spine on the left side.

Ultrasound showed a pocketed fluid collection splitting the layers of the back fascia, the sheet of tissue over the muscles. The team judged it a blood collection from a small artery branch nicked during surgery. Massage and stretching were paused for three weeks while the blood reabsorbed. Nerve-gliding exercises took their place in her rehab.

Catalog record

CREATORVincenzo Ricci, Arianna Pesaresi, Levent Özçakar
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE4 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13379159

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