ArticleNMC case report journal2017
Abdominal Flank Bulging after Lateral Retroperitoneal Approach: A Case Report.
Article in NMC case report journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
5 citing papers in PubMed, 6 citations in OpenAlex.
- Redo-Posterior Neurectomy or Conservative Treatment for Recurrent Pain After Posterior Neurectomy in Anterior Cutaneous Nerve Entrapment Syndrome - A Case Comparison Analysis.Journal of abdominal wall surgery : JAWS · 2025Article
- Management of Massive Flank Hernia After Lateral Lumbar Fusion: Preoperative Botulinum Toxin Injections and Open Repair - A Case Report.The American journal of case reports · 2024Article
- Prospective Analysis of Incisional Morbidity Associated With Anterior Surgical Approaches to the Lumbar Spine.Cureus · 2024Article
- Abdominal Pseudohernia after Extreme Lateral Interbody Fusion Procedure: A Case Report.Spine surgery and related research · 2021Article
- Postoperative Inflammatory Response and Recovery following Pediatric Pyeloplasty: A Comparative Study of Laparoscopic and Open Approaches.Journal of Indian Association of Pediatric SurgeonsArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The lateral transpsoas approach to access the vertebrae obviates the need for an approach surgeon and minimizes muscular disruption, thus allowing for quicker recovery. Several reports on the lateral transpsoas procedure have described few complications. However, the development of an unsightly and painful abdominal flank bulge is a largely under-recognized and very rare complication of the lateral transpsoas approach. A 59-year-old man suffered from back pain and bilateral posterior leg pain. Computed tomography (CT) scan and MRI showed retrolisthesis at L3-4, L2 wedge vertebrae with kyphosis, left L4 screw loosening, and L3-4 disc herniation with central canal stenosis. L2 corpectomy and L3-4 DLIF and posterior fusion to T12 for kyphosis correction were performed. For the lateral approach, resection of the T11 rib was performed. One month later, he developed left abdominal flank bulging below the lateral approach site, which was aggravated by walking, coughing, defecating, constipation, and eating. CT scan showed left abdominal flank bulging accompanied by abdominal muscle thinning. We believe that this complication is caused by denervation of the abdominal musculature after injury to the T11 intercostal nerves.
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