Related Experiment Video
Updated: May 4, 2026
Full-Endoscopic Transforaminal Approach for Lumbar Discectomy
Published on: September 8, 2023
[Rare complication after endoscopic discectomy].
T Hilbert1, O Boehm, R Pflugmacher
1Klinik und Poliklinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53105, Bonn, Deutschland, thilbert@uni-bonn.de.
A rare complication following endoscopic lumbar discectomy, where irrigation fluid accumulated in the abdomen causing shortness of breath, was successfully managed with drainage. This highlights the importance of considering unusual causes of postoperative dyspnea.
Area of Science:
- Spinal Surgery
- Anesthesiology
- Abdominal Imaging
Background:
- Endoscopic discectomy is a common spinal surgery.
- Postoperative complications require prompt diagnosis and management.
Observation:
- A patient developed severe shortness of breath and abdominal pain after endoscopic lumbar discectomy.
- Abdominal ultrasound revealed free fluid, confirmed as irrigation solution via CT-guided puncture.
Findings:
- Accidental intra-abdominal accumulation of surgical irrigation fluid is a rare complication.
- Prompt fluid drainage via a channel led to patient recovery.
Implications:
- This case underscores the need for awareness of uncommon complications after percutaneous spinal interventions.
- Differential diagnoses for postoperative dyspnea should include fluid collection from surgical sites.
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