Abstract
We report a case of psoas hematoma with a large pseudoaneurysm causing lumbar plexopathy following endoscopic lumbar decompression. A 34-year-old man had received posterolateral endoscopic lumbar decompression for the treatment of herniated intervertebral disc at L4/5 level. After endoscopic lumbar decompression, his low back pain, groin pain and motor weakness of his left lower extremity were more aggravated. Psoas hematoma with a pseudoaneurysm causing lumbar plexopathy was detected by computed tomography scan and confirmed by electrodiagnostic testing. In order to prevent permanent and catastrophic disability, a proper evaluation for detecting possible complication and immediate management should be needed during the early post-operative phase. Keywords: Hematoma; Lumbar plexopathy; Pseudoaneurysm; Endoscopic lumbar decompression
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