DESIGN: To describe a case of retroperitoneal lymphocele as an extremely rare complication after lumbar spine fracture. OBJECTIVE: To discuss the possible mechanism of development of retroperitoneal lymphocele following blunt trauma to the ureter and lumbar spine. SETTING: Fukui University Hospital, Fukui, Japan. RESULTS: A 71-year-old man presented with severe intractable low back pain caused by a huge retroperitoneal lymphocele, which was considered to be related to an occult L4 vertebral fracture and a blunt ureteral injury. The retroperitoneal lymphocele also caused significant instability at L3-4 level, thus requiring surgical resection followed by interbody fusion. CONCLUSION: Physicians should be aware that such unusual retroperitoneal lymphocele might develop even after a blunt ureteral injury or a minor lumbar spine fracture. Spinal Cord (2005) 43, 687-690. doi:10.1038/sj.sc.3101775; published online 21 June 2005.
DESIGN: To describe a case of retroperitoneal lymphocele as an extremely rare complication after lumbar spine fracture. OBJECTIVE: To discuss the possible mechanism of development of retroperitoneal lymphocele following blunt trauma to the ureter and lumbar spine. SETTING: Fukui University Hospital, Fukui, Japan. RESULTS: A 71-year-old man presented with severe intractable low back pain caused by a huge retroperitoneal lymphocele, which was considered to be related to an occult L4 vertebral fracture and a blunt ureteral injury. The retroperitoneal lymphocele also caused significant instability at L3-4 level, thus requiring surgical resection followed by interbody fusion. CONCLUSION: Physicians should be aware that such unusual retroperitoneal lymphocele might develop even after a blunt ureteral injury or a minor lumbar spine fracture. Spinal Cord (2005) 43, 687-690. doi:10.1038/sj.sc.3101775; published online 21 June 2005.
Authors: Hwee Weng Dennis Hey; Keng Lin Wong; Asrafi Rizki Gatam; Joel Louis Lim; Hee-Kit Wong Journal: Eur Spine J Date: 2016-06-27 Impact factor: 3.134