tailieunhanh - Báo cáo y học: " Disabling pelvic pain following open surgery for rectal prolapse: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Disabling pelvic pain following open surgery for rectal prolapse: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Disabling pelvic pain following open surgery for rectal prolapse a case report Sébastien Romy1 Maurice JC Matter1 Christian Felley2 and Nicolas Demartines1 Addresses 1Service de Chirurgie Viscérale Centre Hospitalier Universitaire Vaudois 1011 Lausanne Suisse 2Service de Gastroentérologie Centre Hospitalier Universitaire Vaudois 1011 Lausanne Suisse Email SR - MJCM - CF - ND - Demartines@ Corresponding author Received 2 October 2008 Accepted 14 April 2009 Published 15 September 2009 Journal ofMedical Case Reports 2009 3 9214 doi 1752-1947-3-9214 This article is available from http jmedicalcasereports article view 9214 2009 Romy et al. licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Iatrogenic inferior hypogastric plexus neuropathy is a well-reported side effect of rectal prolapse surgery. This case report emphasizes the importance of careful evaluation of surgical strategy in pelvic surgery. Case presentation A 60-year-old Swiss Caucasian woman developed disabling pelvic pain in the right iliac fossa radiating to the upper posterior side of the right thigh and right labium majus characterized by electric feelings. This followed resection and bilateral rectal fixation to the sacral promontory as treatment for rectal prolapse. Investigations included a multidisciplinary neurological pain evaluation. A computed tomography scan did not reveal any cause. Revision surgery was performed and a foreign body a thread was found wrapped around the inferior hypogastric plexus and was removed. Four years later the patient remains asymptomatic. .

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