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Journal of Korean Neurosurgical Society 2010;47(3): 224-227.
doi: https://doi.org/10.3340/jkns.2010.47.3.224
Small Bowel Injury as a Complication of Lumbar Microdiscectomy : Case Report and Literature Review.
Duk Sung Kim, Jung Kil Lee, Kyung Sub Moon, Jae Kyun Ju, Soo Han Kim
1Department of Neurosurgery, Chonnam National University Hospital & Medical School, Gwangju, Korea. jkl@chonnam.ac.kr
2Department of Surgery, Chonnam National University Hospital & Medical School, Gwangju, Korea.
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.
Key Words: Bowel injury; Complication; Lumbosacral region; Microdiscectomy
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