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J Korean Neurosurg Soc. 2010 Mar;47(3):224-227. English. Case Report.
Kim DS , Lee JK , Moon KS , Ju JK , Kim SH .
Department of Neurosurgery, Chonnam National University Hospital & Medical School, Gwangju, Korea. jkl@chonnam.ac.kr
Department of Surgery, Chonnam National University Hospital & Medical School, Gwangju, Korea.
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.

Copyright © 2019. Korean Association of Medical Journal Editors.