Colon perforation caused by migration of a bone graft following a posterior lumbosacral interbody fusion operation: case report.
METHODS
This is a case report.


OBJECTIVE
The purpose was to report a patient whose migrated L4-S1 femur graft led to perforation of the cecum.


BACKGROUND
Autograft bone use during spinal surgery is quite commonplace nowadays. With time due to infection, technical mishaps, or disease recurrence, these autografts may break off their points of attachments and with their subsequent migration lead to serious complications.


METHODS
The patient who had the history of a stabilization operation performed for his L5-S1 spondylolisthesis grade III by way of a L4-L5, S1 transpedicular rod screw presented with high fever and abdominal tenderness. The patient underwent a laparatomy and a perforation on the medial aspect of the cecum, and a femur graft extending into the cecum through the perforation was found.


RESULTS
The graft was removed and the cecum was primarily repaired. The patient was discharged on the 15th postoperative day after an uneventful postoperative course.


CONCLUSIONS
We have presented a case whose migrated L4-S1 femur graft led to perforation of the cecum. We recommend that frequent radiologic follow-up should be done in patients at risk to show complications early enough to avert severe consequences.
Cakmak
Atil
A
Department of Surgery, Ankara University School of Medicine, Ankara, Turkey. acakmak9@yahoo.com
Gyedu
Adam
A
Kepenekçi
Ilknur
I
Ozcan
Cumhur
C
Unal
Ali Ekrem
AE
D000328:Adult; D016025:Bone Transplantation / Q000009:adverse effects*; D003106:Colon / Q000000981:diagnostic imaging* / Q000293:injuries*; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D007416:Intestinal Perforation / Q000000981:diagnostic imaging* / Q000209:etiology; D008159:Lumbar Vertebrae / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000209:etiology; D011859:Radiography; D012447:Sacrum / Q000601:surgery; D013123:Spinal Fusion / Q000009:adverse effects*