PMC4012096_01
Chest x-ray. Black arrow indicates left pleural effusion.
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F1
In the first postoperative day, the patient developed mild dyspnea, which prompted the attending clinician to perform an anteroposterior chest radiograph (Figure 1).
CT scan. Black arrow indicates hemothorax.
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F2
The CT scan revealed the resolution of the hemothorax (Figure 2) and showed the presence of tissue in the thorax with a radiological density similar to that of fat tissue.
CT scan. Black arrow indicates the misplaced pedicle screw.
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F3
This finding was associated with the displacement of one pedicle screw that breached the anterior limit of the vertebral body, thereby penetrating into the peritoneal cavity (Figure 3).
Photo of the laparoscopic mesh application.
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F4
Therefore, we repaired the hernia using a polypropylene dual mesh (CMC ; Clear Mesh Composite Dipromed SRL, San Mauro Torinese, Torino, Italy), which covered the defect with a 3-cm overlap, and it was fixed using Absorba Tack  (Covidien, Mansfield, MA, USA) There were no intraoperative surgical or anesthetic complications (Figure 4).