Small bowel injury as a complication of lumbar microdiscectomy : case report and literature review.
Small bowel injury resulting from unforeseen penetration of the anterior annulus fibrosus and longitudinal ligament is a rare complication of lumbar microdiscectomy. The patient complained of abdominal tenderness and distention immediately after microdiscectomy for L4-5 and L5-S1 disc herniation. Using abdominal computed tomography, we found several foci of air overlying the anterior aspect of the vertebral body at the L5-S1 level. Segmental resection of the small bowel including small tears and primary anastomosis of the jejunum were performed. Here, we present a case of intestinal perforation after lumbar microdiscectomy and discuss technical methods to prevent this complication with a review of literature.
Kim
Duk-Sung
DS
Department of Neurosurgery, Chonnam National University Hospital & Medical School, Gwangju, Korea.
Lee
Jung-Kil
JK
Moon
Kyung-Sub
KS
Ju
Jae-Kyun
JK
Kim
Soo-Han
SH