Retroperitoneal lymphocele after anterior spinal surgery

Spine
Alpesh A PatelRobert E Glasgow

Abstract

Case report; Review of Literature. To present an uncommon complication after anterior lumbar surgery as well as a treatment option and a review of the literature. A number of complications have been reported after anterior lumbar surgery. Common complications include vascular, ureteral, and neurologic injuries. The development of a retroperitoneal lymphocele has been previously been described, but details regarding evaluation, diagnosis, and treatment options are lacking in the literature. The case of a single patient with a postoperative retroperitoneal lymphocele was identified and retrospectively reviewed. Permission was obtained from the patient to review and publish this information. A review of literature on lymphoceles and anterior lumbar complications was also performed using PubMed and Ovid databases. A 76-year-old woman underwent anterior interbody fusion from L2-L3-L4-L5, followed by posterior T11-L5 fusion for degenerative scoliosis and spinal stenosis. Six weeks after surgery, she presented with severe abdominal pain, nausea, and emesis. Examination revealed a retroperitoneal lymphocele, which was confirmed after aspiration. The patient was treated with a laparoscopic marsupialization procedure without recurrence. ...Continue Reading

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Citations

Feb 14, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Constantin SchizasEverard Munting
Mar 21, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Thorsten TjardesBertil Bouillon
Sep 18, 2012·Journal of Neurosurgery. Spine·Namath S HussainRod J Oskouian
Jan 14, 2010·Journal of Spinal Disorders & Techniques·Martin ThalerChristian M Bach
Jan 10, 2012·Journal of Spinal Disorders & Techniques·Sombat KunakornsawatTanvaa Tansatit
Jan 25, 2011·Auris, Nasus, Larynx·Dunia Abdul-AzizDaniel G Deschler
Jun 29, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Hwee Weng Dennis HeyHee-Kit Wong
Jul 16, 2009·Current Opinion in Obstetrics & Gynecology
Aug 21, 2021·Journal of Neurosurgery. Spine·Justin K ScheerPraveen V Mummaneni

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