Okçu Mehmet, Şencan Savaş, Hakan Gündüz Osman
Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, Marmara University Faculty of Medicine, Istanbul, Türkiye.
Turk J Phys Med Rehabil. 2022 Jun 7;69(1):121-124. doi: 10.5606/tftrd.2022.8874. eCollection 2023 Mar.
Although it has been reported that caution should be exercised in terms of rectal perforation, as the ganglion impar is located just behind the rectum in the presacral space, the authors could not find any case or images of rectal perforation occurring during ganglion impar blockade in the literature. In this report, the case of a 38-year-old female with rectal perforation that developed during ganglion impar blockade, performed by the transsacrococcygeal approach under fluoroscopy guidance, is presented. Wrong needle selection and the structurally short presacral space of the patient may have influenced the development of rectal perforation in the patient. This study presents the first case and images of rectal perforation in the literature that developed during the application of ganglion impar blockade using the transsacrococcygeal technique. In ganglion impar block applications, technically appropriate needles should be used, and care should be taken in terms of rectal perforation.
尽管有报道称，由于奇神经节位于骶前间隙直肠后方，在进行奇神经节阻滞时应注意避免直肠穿孔，但作者在文献中未发现任何奇神经节阻滞过程中发生直肠穿孔的病例或图像。在本报告中，介绍了一例38岁女性患者，在荧光透视引导下经骶尾入路进行奇神经节阻滞时发生直肠穿孔的病例。错误的针头选择以及患者骶前间隙结构较短可能影响了该患者直肠穿孔的发生。本研究呈现了文献中首例经骶尾技术进行奇神经节阻滞时发生直肠穿孔的病例及图像。在奇神经节阻滞操作中，应使用技术上合适的针头，并注意避免直肠穿孔。
