Pneumoperitoneum as a rare complication of percutaneous vertebroplasty: A case report

Authors

• Chen-Ting Yang, Spine Center, China Medical University Hospital, Taichung, Taiwan
• I-Han Hsiao, Spine Center, China Medical University Hospital, Taichung, Taiwan
• Chun-Chung Chen, Spine Center, China Medical University Hospital, Taichung, Taiwan
• Der-Yang Cho, Spine Center, China Medical University Hospital, Taichung, Taiwan
• Hui-Shan Lu, Department of Neurosurgery, China Medical University Hospital, Taichung, Taiwan
• Po-Fan Chiu, Spine Center, China Medical University Hospital, Taichung, TaiwanFollow

Abstract

A 70-year-old woman with a history of hepatocellular carcinoma and bone metastasis underwent percutaneous vertebroplasty for multilevel pathological vertebral compression fractures due to back pain persisting despite conservative treatment. Subsequently, she reported significant pain relief; however, on postoperative day 1, she complained of intermittent, diffuse, and severe abdominal pain. Imaging examination revealed free air in the retroperitoneum and paraspinal space, suggesting hollow organ perforation. She refused exploratory surgery and was consequently discharged against medical advice with only oral antibiotics. Two weeks later, she returned for follow-up. She was in good condition with stable vital signs and no signs of toxic infection. Another follow-up appointment was suggested 2 weeks later, but the patient refused, citing a lack of discomfort.

Recommended Citation

Yang, Chen-Ting; Hsiao, I-Han; Chen, Chun-Chung; Cho, Der-Yang; Lu, Hui-Shan; and Chiu, Po-Fan (2026) "Pneumoperitoneum as a rare complication of percutaneous vertebroplasty: A case report," BioMedicine: Vol. 16 : Iss. 3 , Article 10.
DOI: 10.37796/2211-8039.1715

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