Popli Ajay, Mahajan Rajat, Rustagi Tarush, Gupta Saransh, Verma Vivek, Gupta Hemant
Spine, Max Hospital Vaishali.
Department of Spine Surgery, Indian Spinal Injuries Center, New Delhi, IND.
Cureus. 2018 Apr 2;10(4):e2407. doi: 10.7759/cureus.2407.
Coccydynia in adult patients is not uncommon and is frequently neglected. Coccydynia is mostly associated with fall on buttocks. In long-standing cases, coccydynia can be debilitating. Rarely coccydynia can be due to more sinister causes and surgeons should be aware of all differential diagnosis. We present a case of an elderly female who presented with a complaint of pain over coccyx which was not subsiding with conventional treatment methods. Biopsy was done and a diagnosis of sclerosing epitheloid fibrosarcoma was made. We describe an unusual case of coccydynia secondary to this tumour with the histopathology finding and surgical management.
成年患者的尾骨痛并不少见,且常常被忽视。尾骨痛大多与臀部着地摔倒有关。在病程较长的病例中,尾骨痛会使人衰弱。极少数情况下,尾骨痛可能由更严重的病因引起,外科医生应了解所有鉴别诊断。我们报告一例老年女性病例,她主诉尾骨疼痛,采用传统治疗方法后疼痛未缓解。进行了活检,诊断为硬化性上皮样纤维肉瘤。我们描述了一例继发于该肿瘤的不寻常尾骨痛病例,包括组织病理学检查结果和手术治疗情况。