Delayed lymphocele formation following lateral lumbar interbody fusion of the spine.
Eur Spine J
; 26(Suppl 1): 36-41, 2017 05.
Article
em En
| MEDLINE
| ID: mdl-27349755
ABSTRACT
PURPOSE:
This paper aims to describe the rare post-operative complication of a lymphocele formation after lateral lumbar interbody fusion.METHODS:
The patient in this case was a 76-year-old lady with a 10 year history of low back pain and neurogenic claudication. She had previously underwent multiple spine surgeries for her condition. She presented to our institution for a recurrence of her low back pain and right anterior thigh pain. She then underwent surgery in two stages; first, a mini-open lateral interbody fusion at L3/4 and L4/5; second, posterior instrumentation of T3 to S1 with sagittal spinal deformity correction.RESULTS:
The patient recovered uneventfully in the initial post op period and was discharged within 8 days. However, she developed abdominal distension and discomfort 6 months after surgery. MRI and CT scan of her abdomen showed a retroperitoneal fluid collection compressing her left ureter, resulting in hydroureter and hydronephrosis. She was managed with a CT-guided drainage of the fluid collection. Fluid analysis was consistent with a lymphocele. Since the procedure, the patient has been asymptomatic for 2 years.CONCLUSIONS:
Delayed lymphocele formation is a potential complication of lateral lumbar interbody fusion. When present, it can be managed conservatively with good results. This case suggests that surgeons should have a low threshold to investigate for a lymphocele development post-anterior or lateral lumbar spine surgery. The authors recommend the placement of a post surgical retroperitoneal drain, as it might assist in the early detection of a lymphocele formation.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Curvaturas da Coluna Vertebral
/
Fusão Vertebral
/
Linfocele
/
Vértebras Lombares
Tipo de estudo:
Etiology_studies
/
Screening_studies
Limite:
Aged
/
Female
/
Humans
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article