Spinal anaesthesia in a patient with post-spine surgery dural ectasia

• Published in: Revista española de anestesiología y reanimación Vol. 61; no. 1; p. 47
• Main Authors: Errando, C L, Del Moral, A, Cobo, I, García-Gregorio, N, Pallardó-López, M A
• Format: Journal Article
• Language: English
• Published: Spain 01-01-2014
• Subjects: Abdomen, Acute - etiology; Aged, 80 and over; Anesthesia, Spinal - methods; Anti-Bacterial Agents - therapeutic use; Bupivacaine - administration & dosage; Colectomy - methods; Colostomy; Combined Modality Therapy; Dilatation, Pathologic - etiology; Dura Mater - pathology; Fatal Outcome; Humans; Injections, Spinal - adverse effects; Intestinal Volvulus - surgery; Laminectomy; Male; Megacolon - complications; Megacolon - surgery; Peritonitis - drug therapy; Peritonitis - etiology; Peritonitis - surgery; Postoperative Complications - etiology; Pressure; Sigmoid Diseases - surgery; Surgical Wound Dehiscence - complications; Surgical Wound Dehiscence - surgery; Aged 80 and over; Anaesthesia; Spinal; anciano, anciano de 80 o más años, anciano frágil; Frail elderly; cirugía general; Anestesia subaracnoidea; Aged; Surgical procedures; variaciones anatómicas; Anatomic variations
• ISSN: 2340-3284
• DOI: 10.1016/j.redar.2013.08.004

Dural sac ectasia is a very infrequent anatomical abnormality, usually caused by connective tissue diseases, as Marfan syndrome. Very few cases have been described being a consequence of a previous spine surgical procedure. We describe the case of an elderly patient who should be operated on twice due to sub-occlusive colon disease. Surgery was performed under spinal anaesthesia. A dural sac ectasia was suspected after the first procedure and the abdominal X-ray was reviewed. The characteristics of the anatomical alteration and the course of both anaesthetic procedures were described. X-ray and CT images were provided.