Blocker Oliver, Hill Susan, Woodacre Timothy
Cardiff Spinal Unit, University Hospital of Wales, Cardiff, UK.
BMJ Case Rep. 2011 Jul 28;2011:bcr0620114408. doi: 10.1136/bcr.06.2011.4408.
The authors present the case of a sacral chordoma in which the diagnosis was delayed as the patient was diagnosed and treated as coccydynia. Persistent, severe coccydynia following minor trauma is common but the symptom can also be caused by significant underlying disease. The correct diagnosis was made in this patient but after significant delay. The presentation of this case involved multiple specialties and provides several learning points regarding the importance of thorough history taking and clinical examination. It highlights the importance of 'red flag' symptoms of low back pain which need to be fully investigated.
作者介绍了一例骶骨脊索瘤病例，该病例的诊断被延误，因为患者最初被诊断并当作尾骨痛进行治疗。轻微创伤后持续存在的严重尾骨痛很常见，但这种症状也可能由严重的潜在疾病引起。该患者最终做出了正确诊断，但诊断延误了很长时间。该病例的诊治涉及多个专业领域，并提供了几个关于全面病史采集和临床检查重要性的学习要点。它强调了下腰痛“红旗”症状的重要性，需要对其进行全面调查。
