case_images: PMC11302594_01
case_images: Preoperative magnetic resonance and computed tomography (CT) images. (a, b) Sagittal view and axial view T2-weighted images show disc herniation at L5-S1. Figure 1a is at the level of the yellow line in figure 1b. Figure 1b is at the level of the red line in figure 1a. (c, d) CT of the sagittal and axial views reveal a low-density lesion, which indicates gas within the herniated disc. Figure 1c is at the level of the yellow line in figure 1d. Figure 1d is at the level of the red line in figure 1c.
case_images: SNI-15-265-g001.jpg
case_images: PMC11302594_01_SNI-15-265-g001.jpg
case_images: F1
case_images: MR imaging revealed left S1 nerve root compression due to a left paramedian disc herniation at L5-S1 [Figure 1a and b]. CT confirmed a low-density disc herniation that contained gas continuous with the L5-S1 disc space [Figure 1c and d]. Intraoperative gas leakage from the herniated disc was visible (i.e., bubbles) [Figure 2 and Video 1].
case_images: Intraoperative endoscopic view showing gas leaking from the herniated disc as bubbles (arrows).
case_images: SNI-15-265-g002.jpg
case_images: PMC11302594_01_SNI-15-265-g002.jpg
case_images: F2
case_images: Intraoperative gas leakage from the herniated disc was visible (i.e., bubbles) [Figure 2 and Video 1].
case_images: Postoperative magnetic resonance and computed tomography (CT) images. (a, b) Sagittal view and axial view T2-weighted images show a decrease in disc herniation at L5-S1. Figure 1a is at the level of the yellow line in figure 1b. Figure 1b is at the level of the red line in figure 1a. (c, d) CT of the sagittal and axial views revealed no low-density lesion within the herniated disc. Figure 1c is at the level of the yellow line in figure 1d. Figure 1d is at the level of the red line in figure 1c.
case_images: SNI-15-265-g003.jpg
case_images: PMC11302594_01_SNI-15-265-g003.jpg
case_images: F3
case_images: Postoperatively, the patient's symptoms immediately resolved, and the postoperative MR and CT images revealed no residual disc herniation or gas [Figure 3a-d].