Sacral plexus disorder caused by a wooden toothpick in the rectum
Sacral plexus disorder caused by a wooden toothpick in the rectum
复制标题
木牙签插入直肠引起的骶丛神经紊乱
DOI：
10.1136/bcr-2020-238690
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发表时间：
2021
期刊：
影响因子：
0.9
通讯作者：
Higashiyama Naoki
中科院分区：
文献类型：
--
作者：
Endo Takuro;Sugawara Taku;Higashiyama Naoki
一位67岁的男性，有2个月的疼痛史，在他的右小腿和下肢。MRI显示右侧L5/S1侧隐窝狭窄，需要手术治疗;然而，术前CT显示直肠中有一个约7 cm长的细杆状结构，最终确定为意外摄入的牙签。诊断后6天手术切除，因为右腿疼痛迅速恶化。此后疼痛消失，症状没有复发。疼痛可能在早期局限于右侧股骨头和大腿后部，因为牙签的细尖位于S2脊神经前支的右侧。虽然由直肠异物引起的骶丛紊乱是非常罕见的，但医生应注意避免误诊。
A 67-year-old man presented with a 2-month history of pain in his right buttock and lower limb. MRI depicted right L5/S1 lateral recess stenosis requiring surgical treatment; however, preoperative CT showed an approximately 7 cm long, thin, rod-shaped structure in the rectum, which was ultimately determined to be an accidentally ingested toothpick. It was removed surgically 6 days after diagnosis, because right leg pain worsened rapidly. The pain disappeared thereafter, and the symptoms have not recurred since. The pain might have been localised to the right buttock and posterior thigh in the early stages because the fine tip of the toothpick was positioned to the right of the anterior ramus of the S2 spinal nerve. Although sacral plexus disorder caused by a rectal foreign body is extremely rare, physicians should be mindful to avoid misdiagnosis.