Colon Injury during Intraoperative Puncture of Percutaneous Endoscopic Lumbar Discectomy: A Case Report

Dingwen He, Xinxin Miao, Jingyu Jia and Xigao Cheng

Department of Orthopaedic Surgery, The Second Affiliated Hospital of Nanchang University, China

^*Correspondance to: Xigao Cheng 

 PDF  Full Text DOI: 10.25107/2474-1647.2042

Abstract

Background: Percutaneous Endoscopic Lumbar Discectomy (PELD) has been promoted as a useful surgical strategy. The efficacy and safety of PELD have been improved by technological innovation with time. But, there are still some complications have been reported. We have countered a nonreported intraoperative puncture-related complication of colon injury, and consequently successful diagnosis and conservative management which wish to attack attention to this hazard and avoid it.Case Description: A 63-year-old female with abdominal pain and fever 1 day after PELD. According to the patients’ complaints of recurrent fever with constant abdominal, laboratory tests, imaginings and incision pain persistently, confirmed diagnosis (septicemia) and guidelines of management, so we decided to carry out anti-infection therapy (Yaan), fasting, gastrointestinal decompression, maintenance of water electrolyte balance and symptomatic support treatment. After constant conservative treatment, the results of laboratory tests were negative and the previous described symptoms of the case were relieved apparently. Finally, the result of colonoscopy revealed that the organization was intact. The patient made smoothly recovery and was free of symptoms before discharged.Conclusion: The colon injury during PELD procedures is a scanty but a serious complication. A detail plan in advance and prudent operation are very important to improve the safety of this procedure. We hope that this report of PELD complications can help more colleagues, especially the beginner.

Keywords

Percutaneous endoscopic lumbar discectomy; Colon injury; Intraoperative puncturerelated complications

Cite the article

He D, Miao X, Jia J, Cheng X. Colon Injury during Intraoperative Puncture of Percutaneous Endoscopic Lumbar Discectomy: A Case Report. Clin Surg. 2018; 3: 2042.