title: [Rare complication after endoscopic discectomy].
abstract: Surgical treatment of the lumbar spine is a standard procedure in orthopedic and neurosurgery. After endoscopic discectomy an otherwise healthy patient developed massive dyspnea in combination with severe abdominal pain. Sonography revealed a large volume of free fluid in the abdominal cavity which proved to be surgical irrigation solution after computed tomography (CT) guided puncture. After insertion of a drainage channel fluid could be removed and the patient was transferred to a peripheral ward after a 24 h monitoring period. This review reports on the complications and anesthetic characteristics of percutaneous spinal interventions and presents differential diagnoses of postoperative dyspnea.
authors.affiliation: Klinik und Poliklinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53105, Bonn, Deutschland, thilbert@uni-bonn.de.
authors.forename: T
authors.initials: T
authors.lastname: Hilbert
authors.forename: O
authors.initials: O
authors.lastname: Boehm
authors.forename: R
authors.initials: R
authors.lastname: Pflugmacher
authors.forename: D C
authors.initials: DC
authors.lastname: Wirtz
authors.forename: G
authors.initials: G
authors.lastname: Baumgarten
authors.forename: P
authors.initials: P
authors.lastname: Knuefermann
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D017586:Diskectomy / Q000009:adverse effects*; D004724:Endoscopy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D011182:Postoperative Care; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy*; D014057:Tomography, X-Ray Computed