case_images: PMC4012096_01
case_images: Chest x-ray. Black arrow indicates left pleural effusion.
case_images: 1749-7922-9-34-1.jpg
case_images: PMC4012096_01_1749-7922-9-34-1.jpg
case_images: F1
case_images: In the first postoperative day, the patient developed mild dyspnea, which prompted the attending clinician to perform an anteroposterior chest radiograph (Figure 1).
case_images: CT scan. Black arrow indicates hemothorax.
case_images: 1749-7922-9-34-2.jpg
case_images: PMC4012096_01_1749-7922-9-34-2.jpg
case_images: F2
case_images: 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.
case_images: CT scan. Black arrow indicates the misplaced pedicle screw.
case_images: 1749-7922-9-34-3.jpg
case_images: PMC4012096_01_1749-7922-9-34-3.jpg
case_images: F3
case_images: 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).
case_images: Photo of the laparoscopic mesh application.
case_images: 1749-7922-9-34-4.jpg
case_images: PMC4012096_01_1749-7922-9-34-4.jpg
case_images: F4
case_images: 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).