一例肾移植术后淋巴管囊肿导致的严重坐骨神经痛病例。
A case of severe sciatica caused by a lymphocele after renal transplantation.
作者信息
Yamada Naoto, Kumagai Motoi, Suzuki Kenji S
机构信息
Department of Anesthesiology, School of Medicine, Iwate Medical University, 2-1-1 Idai-dori, Yahaba-cho, Shiwa-gun, Iwate, 028-3695, Japan.
出版信息
JA Clin Rep. 2022 May 30;8(1):37. doi: 10.1186/s40981-022-00527-2.
BACKGROUND
Sciatica is commonly caused by lumbar spinal disease. However, it can also be caused by tumors, infectious diseases, or muscle entrapment. We present a case of sciatica caused by a lymphocele after renal transplantation.
PRESENTATION
A 50-year-old man who had undergone renal transplantation presented with sciatica and low back pain without leg edema. The patient was diagnosed with lumbar disc herniation during the first medical examination. Regardless of the treatment, the symptoms were exacerbated and red flag signs of low back pain were observed. Compression of the sciatic nerve by the lymphocele was confirmed by computed tomography. The sciatica was improved by ethanol injection for the lymphocele.
CONCLUSIONS
We encountered a rare case of severe sciatica without edema caused by lymphocele after renal transplantation. Careful examination is required to make a different diagnosis of lymphocele from other lumbar spinal diseases.
背景
坐骨神经痛通常由腰椎疾病引起。然而，它也可能由肿瘤、传染病或肌肉卡压所致。我们报告一例肾移植后淋巴管瘤引起坐骨神经痛的病例。
病例介绍
一名50岁男性，肾移植术后出现坐骨神经痛和腰痛，无腿部水肿。首次体检时患者被诊断为腰椎间盘突出症。无论采取何种治疗，症状均加重，并观察到腰痛的警示体征。计算机断层扫描证实淋巴管瘤压迫坐骨神经。通过向淋巴管瘤注射乙醇，坐骨神经痛得到改善。
结论
我们遇到一例肾移植后由淋巴管瘤引起的罕见的无水肿严重坐骨神经痛病例。需要仔细检查以鉴别淋巴管瘤与其他腰椎疾病。
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