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被忽视的 Tarlov 囊肿:一例伴有精液漏出的 Tarlov 囊肿。

Neglected Tarlov cysts: a case of a Tarlov cyst with spermatorrhea.

机构信息

Academy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, 350122, Fujian, People's Republic of China.

Spinal Department of Orthopedics, Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, 445, Bayi Avenue, Donghu, Nanchang, 330004, Jiangxi, People's Republic of China.

出版信息

Eur J Med Res. 2021 May 8;26(1):44. doi: 10.1186/s40001-021-00514-w.

DOI:10.1186/s40001-021-00514-w
PMID:33964972
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8106831/
Abstract

BACKGROUND

Tarlov cysts are a commonly misdiagnosed condition, which can present with many rare symptoms. We report a case of a Tarlov cyst with spermatorrhea and review the pertinent literature.

CASE PRESENTATION

A 42-year-old male patient had a history of spermatorrhea for > 10 years, but was incorrectly diagnosed as the patient and the doctors consistently mistook the symptoms for a genitourinary disease. Magnetic resonance imaging showed that two cysts in the sacral canal. The diagnosis was Tarlov cyst. We performed surgery to remove the cyst and the symptoms of spermatorrhea disappeared after the operation.

CONCLUSIONS

This case demonstrates that orthopedics and urologists should improve their understanding of Tarlov cysts to avoid misdiagnosis and mistreatment.

摘要

背景

Tarlov 囊肿是一种常被误诊的疾病,可表现出许多罕见的症状。我们报告一例伴有精液遗泄的 Tarlov 囊肿病例,并复习相关文献。

病例介绍

一名 42 岁男性患者有精液遗泄病史>10 年,但被误诊,患者和医生均一直将症状误认为是泌尿生殖系统疾病。磁共振成像显示骶管内有两个囊肿。诊断为 Tarlov 囊肿。我们行手术切除囊肿,术后精液遗泄症状消失。

结论

本例表明,骨科和泌尿科医生应提高对 Tarlov 囊肿的认识,避免误诊和误治。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e10/8106831/4dc3881cb231/40001_2021_514_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e10/8106831/24e1297b7dca/40001_2021_514_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e10/8106831/c2657f190fb0/40001_2021_514_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e10/8106831/8124b8d1e97c/40001_2021_514_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e10/8106831/4dc3881cb231/40001_2021_514_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e10/8106831/24e1297b7dca/40001_2021_514_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e10/8106831/c2657f190fb0/40001_2021_514_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e10/8106831/8124b8d1e97c/40001_2021_514_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e10/8106831/4dc3881cb231/40001_2021_514_Fig4_HTML.jpg

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Front Med (Lausanne). 2020 Nov 30;7:577301. doi: 10.3389/fmed.2020.577301. eCollection 2020.
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Persistent Genital Arousal Disorder: Review of Pertinent Peripheral Nerves.持续性生殖器唤起障碍:相关周围神经的综述。
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Woman With Painful Bowel Movements.排便时疼痛的女性。
Ann Emerg Med. 2019 Oct;74(4):e77-e78. doi: 10.1016/j.annemergmed.2019.03.039.
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Evaluating the discordant relationship between Tarlov cysts and symptoms of pudendal neuralgia.评估鞍状神经节囊肿与阴部神经痛症状之间的不相符关系。
Am J Obstet Gynecol. 2020 Jan;222(1):70.e1-70.e6. doi: 10.1016/j.ajog.2019.07.021. Epub 2019 Jul 15.
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Symptomatic Tarlov cysts are often overlooked: ten reasons why-a narrative review.有症状的 Tarlov 囊肿常被忽视:十个原因——一篇叙述性综述。
Eur Spine J. 2019 Oct;28(10):2237-2248. doi: 10.1007/s00586-019-05996-1. Epub 2019 May 11.
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Depressive symptomatology in a female patient with Tarlov cyst.一名患有塔尔洛夫囊肿的女性患者的抑郁症状
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