Injury to the gonadal, renal and duodenal veins during pedicle screw extraction surgery

IntroductionComplications during pedicle screw extraction are rare.Clinical caseWe present a case of a vascular and duodenal injury arising from a complication that occurred during a pedicle screw extraction procedure. The pedicle screw had to be removed because it was causing irritative nervous symptoms to a patient that had undergone surgery for degenerative lumbar scoliosis.ConclusionThe severity of the complication made it necessary to perform median laparotomy during the same surgical procedure to resolve the bleeding and withdraw the screw.

ResumenIntroducciónLas complicaciones durante la retirada de tornillos pediculares son poco frecuentes.Caso clínicoA continuación se presenta un caso de lesión vascular y duodenal como resultado de una complicación ocurrida durante una cirugía de extracción de tornillo pedicular que causaba sintomatología nerviosa irritativa en una paciente intervenida de una escoliosis lumbar degenerativa.ConclusiónLa gravedad de la complicación obligó a realizar una laparotomía media en el mismo acto quirúrgico para solventar la hemorragia y poder retirar el tornillo.