case_images: PMC11749662_01
case_images: MRI sagittal view showing migrated lumbar disc herniation at the L5/S1 level. MRI = magnetic resonance imaging.
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case_images: F1
case_images: The magnetic resonance imaging revealed lumbar spondylolisthesis at the L4/5 level and migrated lumbar disk herniation at the L5/S1 level (Figs. 1 and 2).
case_images: MRI sagittal view showing lumbar spondylolisthesis at the L4/5 level. MRI = magnetic resonance imaging.
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case_images: PMC11749662_01_medi-104-e41283-g002.jpg
case_images: F2
case_images: The magnetic resonance imaging revealed lumbar spondylolisthesis at the L4/5 level and migrated lumbar disk herniation at the L5/S1 level (Figs. 1 and 2).
case_images: X-ray plain film showed intra-discal calcification or vacuum in multiple discs along with end plate sclerosis.
case_images: medi-104-e41283-g003.jpg
case_images: PMC11749662_01_medi-104-e41283-g003.jpg
case_images: F3
case_images: A plain X-ray revealed intra-discal calcification or vacuum in multiple disks and end plate sclerosis (Fig. 3).
case_images: Intervertebral disc at the level of L4/5.
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case_images: F4
case_images: The color of resected disk material was black, which was different from conventional tissue (Figs. 4 and 5).
case_images: Intervertebral disc at the level of L5/S1.
case_images: medi-104-e41283-g005.jpg
case_images: PMC11749662_01_medi-104-e41283-g005.jpg
case_images: F5
case_images: The color of resected disk material was black, which was different from conventional tissue (Figs. 4 and 5).
case_images: Spine radiograph with lateral view during the operation.
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case_images: F6
case_images: A C-arm X-ray machine obtained intraoperative images (Figs. 6 and 7).
case_images: Spine radiograph with anteroposterior view during the operation.
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case_images: F7
case_images: A C-arm X-ray machine obtained intraoperative images (Figs. 6 and 7).
case_images: Brownish-black pigmentation of the sclera in left eye.
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case_images: PMC11749662_01_medi-104-e41283-g008.jpg
case_images: F8
case_images: Through reexamination after surgery, brownish-black pigmentation of the sclera in her eyes (Figs. 8 and 9) and gray pigmentation of cartilage in the ears (Figs. 10 and 11) were observed.
case_images: Brownish-black pigmentation of the sclera in right eye.
case_images: medi-104-e41283-g009.jpg
case_images: PMC11749662_01_medi-104-e41283-g009.jpg
case_images: F9
case_images: Through reexamination after surgery, brownish-black pigmentation of the sclera in her eyes (Figs. 8 and 9) and gray pigmentation of cartilage in the ears (Figs. 10 and 11) were observed.
case_images: The color of the patient' urine.
case_images: medi-104-e41283-g012.jpg
case_images: PMC11749662_01_medi-104-e41283-g012.jpg
case_images: F12
case_images: The color of the patient's urine was also observed, and it turned dark after standing for 3 hours (Figs. 12 and 13).
case_images: The patient' urine turned dark on standing for 3 hours.
case_images: medi-104-e41283-g013.jpg
case_images: PMC11749662_01_medi-104-e41283-g013.jpg
case_images: F13
case_images: The color of the patient's urine was also observed, and it turned dark after standing for 3 hours (Figs. 12 and 13).