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Rare complication of ganglion impar blockade with the transsacrococcygeal approach: A case of rectal perforation

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 literatur...

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Autores principales: Okçu, Mehmet, Şencan, Savaş, Hakan Gündüz, Osman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bayçınar Medical Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10186016/
https://www.ncbi.nlm.nih.gov/pubmed/37201018
http://dx.doi.org/10.5606/tftrd.2022.8874
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author Okçu, Mehmet
Şencan, Savaş
Hakan Gündüz, Osman
author_facet Okçu, Mehmet
Şencan, Savaş
Hakan Gündüz, Osman
author_sort Okçu, Mehmet
collection PubMed
description 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.
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spelling pubmed-101860162023-05-17 Rare complication of ganglion impar blockade with the transsacrococcygeal approach: A case of rectal perforation Okçu, Mehmet Şencan, Savaş Hakan Gündüz, Osman Turk J Phys Med Rehabil Case Report 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. Bayçınar Medical Publishing 2022-06-07 /pmc/articles/PMC10186016/ /pubmed/37201018 http://dx.doi.org/10.5606/tftrd.2022.8874 Text en Copyright © 2023, Turkish Society of Physical Medicine and Rehabilitation https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Report
Okçu, Mehmet
Şencan, Savaş
Hakan Gündüz, Osman
Rare complication of ganglion impar blockade with the transsacrococcygeal approach: A case of rectal perforation
title Rare complication of ganglion impar blockade with the transsacrococcygeal approach: A case of rectal perforation
title_full Rare complication of ganglion impar blockade with the transsacrococcygeal approach: A case of rectal perforation
title_fullStr Rare complication of ganglion impar blockade with the transsacrococcygeal approach: A case of rectal perforation
title_full_unstemmed Rare complication of ganglion impar blockade with the transsacrococcygeal approach: A case of rectal perforation
title_short Rare complication of ganglion impar blockade with the transsacrococcygeal approach: A case of rectal perforation
title_sort rare complication of ganglion impar blockade with the transsacrococcygeal approach: a case of rectal perforation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10186016/
https://www.ncbi.nlm.nih.gov/pubmed/37201018
http://dx.doi.org/10.5606/tftrd.2022.8874
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