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KMID : 1001920100470030224
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Journal of Korean Neurosurgical Society
2010 Volume.47 No. 3 p.224 ~ p.227
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Small Bowel Injury as a Complication of Lumbar Microdiscectomy : Case Report and Literature Review
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Kim Duk-Sung
Lee Jung-Kil
Moon Kyung-Sub
Ju Jae-Kyun
Kim Soo-Han
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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.
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KEYWORD
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Bowel injury, Complication, Lumbosacral region, Microdiscectomy
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