Lower Extremity Radicular Pain Caused by Entrapped Sigmoid Colon Between L5 and S1 Vertebrae
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Intestinal entrapment between two vertebral bodies is very rare. In all previous cases, it occurred by major trauma. However, the bowel entrapment between two vertebral bodies without trauma has never been reported, not to mention as the cause of lower extremity radicular pain. We describe the case of an 82-year-old female patient with right lower extremity radicular pain without recent trauma history. The patient was diagnosed sigmoid colon entrapment between the L5 and S1 vertebrae by lumbar spinal computerized tomography and magnetic resonance imaging, and showed improvement in radicular pain after manual reduction of interpositioned colon during surgery. Intestinal entrapment between two vertebrae without trauma is caused by degenerative and vacuum changes of the intervertebral disc combined with the anterior longitudinal ligament injury.
Abstract
Intestinal entrapment between two vertebral bodies is very rare. In all previous cases, it occurred by major trauma. However, the bowel entrapment between two vertebral bodies without trauma has never been reported, not to mention as the cause of lower extremity radicular pain. We describe the case of an 82-year-old female patient with right lower extremity radicular pain without recent trauma history. The patient was diagnosed sigmoid colon entrapment between the L5 and S1 vertebrae by lumbar spinal computerized tomography and magnetic resonance imaging, and showed improvement in radicular pain after manual reduction of interpositioned colon during surgery. Intestinal entrapment between two vertebrae without trauma is caused by degenerative and vacuum changes of the intervertebral disc combined with the anterior longitudinal ligament injury.
참고문헌 (9)
- Ford WD., "Traumatic incarceration of the jejunum between two lumbar vertebrae", J Pediatr Surg, 14, pp.189~190 (1979)
- Davis RE, "Traumatic hyperextension", hyperflexion of the lumbar vertebrae with entrapment and strangulation of small bowel: case report, 2000, pp.49, 958~959
- Metaizeau JP, "Intestinal strangulation between two vertebra following an axial dislocation of L1", L2, 1980, pp.15, 193~194
- Rodger RM, "Entrapment of bowel within a spinal fracture", J Pediatr Orthop, 11, pp.783~785 (1991)
- Silver SF, "Pneumorrhachis after jejunal entrapment caused by a fracture dislocation of the lumbar spine", AJR Am J Roentgenol, 150, pp.1129~1130 (1988)
- Vermassen F, "Acute bowel entrapment between two lumbar vertebrae", Injury, 19, pp.449~450 (1988)
- Eldridge TJ, "Traumatic incarceration of the small bowel: case report", J Trauma, 35, pp.960~961 (1993)
- Hwang SS, "Entrapped inferior vena cava between 2 lumbar vertebrae", J Comput Assist Tomogr, 33, pp.811~813 (2009)
- Roaf R., "A study of the mechanics of spinal injuries", J Bone Joint Surg Br, 42, pp.810~823 (1960)