Small Bowel Injury as a Complication of Lumbar Microdiscectomy : Case Report and Literature Review.
10.3340/jkns.2010.47.3.224
- Author:
Duk Sung KIM
1
;
Jung Kil LEE
;
Kyung Sub MOON
;
Jae Kyun JU
;
Soo Han KIM
Author Information
1. Department of Neurosurgery, Chonnam National University Hospital & Medical School, Gwangju, Korea. jkl@chonnam.ac.kr
- Publication Type:Case Report
- Keywords:
Bowel injury;
Complication;
Lumbosacral region;
Microdiscectomy
- MeSH:
Humans;
Intestinal Perforation;
Jejunum;
Longitudinal Ligaments;
Lumbosacral Region
- From:Journal of Korean Neurosurgical Society
2010;47(3):224-227
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
