PMC6786363_01
a Preoperative lumbar spine X-ray. b, c Lumbar spine T2-weighted MRI showing spondylolisthesis from L4 to L5. The views, include sagittal and axial at the L4 to L5 level
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Fig1
Preoperative X-ray (Fig. 1a) and magnetic resonance imaging (Fig. 1b, c) of the lumbar spine showed spondylolisthesis of L4 on L5 and spinal stenosis between L4 and L5.
a, b Postoperative anteroposterior and lateral radiographs showing the fusion from L4 to L5
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Fig2
Anteroposterior and lateral lumbar spine X-ray imaging was performed on the first postoperative day showed acceptable positioning of the interbody cage and posterior instrumentation (Fig. 2a, b).
a, b Plain radiographs performed on the fourth postoperative day showing gas-distended stomach with small bowel loops, and pneumonia in both lungs
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Fig3
Abdominal and chest X-ray showed an enlarged abdomen with gas distention in the stomach (Fig. 3a) and pneumonia in both lungs (Fig. 3b).
a, b Abdominopelvic computed tomography showing left inguinal hernia of the mid small bowel with incarceration. The views, include anteroposterior and axial at the inguinal area. c Chest computed tomography showing pneumonia with atelectasis in the right upper lobe and bilateral lower lobes
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Fig4
Abdominal computed tomography (CT) scan revealed left inguinal hernia of the small bowel with incarceration (Fig. 4a, b) and small pelvic ascites, but there was no sign of strangulation. Chest CT further showed multifocal peri-bronchial consolidation in both lungs with atelectasis in the right upper lung and both lower lungs (Fig. 4c).