| 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. |
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| ABSTRACT |
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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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