Dorobat B, Musa A, Radu RA. Abdominal aortic pseudoaneurysm as a complication of percutaneous vertebroplasty: A case report. World J Clin Cases 2026; 14(25): 125804 [DOI: 10.12998/wjcc.125804]
Corresponding Author of This Article
Bogdan Dorobat, MD, Consultant Interventional Radiologist, Department of Interventional Radiology, The University Hospital of Bucharest, Splaiul Independentei nr. 169, Sector 5, Bucharest 050098, Romania. Bdorobat@gmail.com
Research Domain of This Article
Radiology, Nuclear Medicine & Medical Imaging
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case-report
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Dorobat B, Musa A, Radu RA. Abdominal aortic pseudoaneurysm as a complication of percutaneous vertebroplasty: A case report. World J Clin Cases 2026; 14(25): 125804 [DOI: 10.12998/wjcc.125804]
World J Clin Cases. Sep 6, 2026; 14(25): 125804 Published online Sep 6, 2026. doi: 10.12998/wjcc.125804
Abdominal aortic pseudoaneurysm as a complication of percutaneous vertebroplasty: A case report
Bogdan Dorobat, Amir Musa, Razvan Alexandru Radu
Bogdan Dorobat, Amir Musa, Razvan Alexandru Radu, Department of Interventional Radiology, University Emergency Hospital of Bucharest, Bucharest 050098, Romania
Author contributions: Dorobat B was the primary operator of the procedure, provided supervision and oversight throughout the study, and served as the guarantor of the work; Musa A was responsible for data acquisition, image collection, and drafting of the manuscript and served as the second operator during the interventional procedure; Radu RA critically reviewed and edited the manuscript for important intellectual content; and all authors have read and approved the final manuscript.
AI contribution statement: AI was used as an assistive tool during manuscript preparation for verification of formatting against the journal’s checklist.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Bogdan Dorobat, MD, Consultant Interventional Radiologist, Department of Interventional Radiology, The University Hospital of Bucharest, Splaiul Independentei nr. 169, Sector 5, Bucharest 050098, Romania. Bdorobat@gmail.com
Received: July 17, 2026 Revised: August 2, 2026 Accepted: August 21, 2026 Published online: September 6, 2026 Processing time: 48 Days and 21 Hours
Core Tip
Core Tip: Aortic injury during percutaneous vertebroplasty is an extremely rare but potentially fatal complication. We report a case of inadvertent anterior cortical breach during needle advancement, resulting in infrarenal aortic puncture, pseudoaneurysm formation, and retroperitoneal hematoma. This complication was recognized by retrograde blood flow through the needle and confirmed by computed tomography angiography. Endovascular stent-graft placement successfully achieved complete exclusion of the pseudoaneurysm, with stable findings at 6-month follow-up. This case highlights the importance of continuous fluoroscopic depth monitoring, maintaining a strict midline needle trajectory, and ensuring immediate access to vascular intervention, particularly in patients with severe osteoporosis.
