Siekmann H, Adler D, Schneider R, Weinitschke K, Bach A G
Klinik für Unfall- und Wiederherstellungschirurgie, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Straße 40, 06120, Halle, Deutschland,
Unfallchirurg. 2014 Nov;117(11):1057-60. doi: 10.1007/s00113-013-2503-1.
The differential diagnosis of lumbar back pain includes a broad spectrum of vertebral and extravertebral pathologies. Even in cases of a traumatic event physicians should keep an extravertebral cause in mind. This is a case report on the coincidence of perforated sigma diverticulitis and traumatic spine compression fracture in an 85-year-old woman with acute back pain. The presence of free retroperitoneal gas in the computed tomography (CT) scan was of significant diagnostic importance.
腰背痛的鉴别诊断包括多种脊椎和脊椎外病变。即使在有外伤史的病例中，医生也应考虑到脊椎外病因。本文报告了一例85岁急性腰背痛女性患者，同时合并乙状结肠憩室炎穿孔和外伤性脊柱压缩性骨折。计算机断层扫描（CT）显示腹膜后游离气体，这具有重要的诊断意义。
