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Severe constipation due to sacral perineural cysts in a pediatrics patient: A case report
BACKGROUND: Symptomatic perineural cysts are rare in pediatric patients. Severe bowel dysfunction caused by the perineural cysts at the sacral level is particularly rare in children. Moreover, the long-term outcome of surgery for the perineural cysts in pediatric patients is uncertain. Here, we desc...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9345110/ https://www.ncbi.nlm.nih.gov/pubmed/35928307 http://dx.doi.org/10.25259/SNI_1152_2021 |
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author | Shimauchi-Ohtaki, Hiroya Honda, Fumiaki Nakamura, Shunsuke Yoshimoto, Yuhei |
author_facet | Shimauchi-Ohtaki, Hiroya Honda, Fumiaki Nakamura, Shunsuke Yoshimoto, Yuhei |
author_sort | Shimauchi-Ohtaki, Hiroya |
collection | PubMed |
description | BACKGROUND: Symptomatic perineural cysts are rare in pediatric patients. Severe bowel dysfunction caused by the perineural cysts at the sacral level is particularly rare in children. Moreover, the long-term outcome of surgery for the perineural cysts in pediatric patients is uncertain. Here, we describe a rare case of perineural cysts originating in the S3 roots in a pediatric patient that manifested as severe constipation. CASE DESCRIPTION: The case was a 13-year-old girl who presented with intractable vomiting and constipation. She also had low back and buttock pain, urinary incontinence, and periproctal sensory disturbance. Radiological studies revealed bilateral perineural cysts originating from the S3 nerve roots, which were considered to be the cause of her symptoms. Microsurgical decompression of the cysts relieved her intractable bowel dysfunction. There has been no recurrence in the 5 years since surgery. CONCLUSION: This case suggests that microsurgery for severe bowel dysfunction due to symptomatic perineural cysts could have a satisfactory long-term outcome in pediatric patients. |
format | Online Article Text |
id | pubmed-9345110 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-93451102022-08-03 Severe constipation due to sacral perineural cysts in a pediatrics patient: A case report Shimauchi-Ohtaki, Hiroya Honda, Fumiaki Nakamura, Shunsuke Yoshimoto, Yuhei Surg Neurol Int Case Report BACKGROUND: Symptomatic perineural cysts are rare in pediatric patients. Severe bowel dysfunction caused by the perineural cysts at the sacral level is particularly rare in children. Moreover, the long-term outcome of surgery for the perineural cysts in pediatric patients is uncertain. Here, we describe a rare case of perineural cysts originating in the S3 roots in a pediatric patient that manifested as severe constipation. CASE DESCRIPTION: The case was a 13-year-old girl who presented with intractable vomiting and constipation. She also had low back and buttock pain, urinary incontinence, and periproctal sensory disturbance. Radiological studies revealed bilateral perineural cysts originating from the S3 nerve roots, which were considered to be the cause of her symptoms. Microsurgical decompression of the cysts relieved her intractable bowel dysfunction. There has been no recurrence in the 5 years since surgery. CONCLUSION: This case suggests that microsurgery for severe bowel dysfunction due to symptomatic perineural cysts could have a satisfactory long-term outcome in pediatric patients. Scientific Scholar 2022-07-22 /pmc/articles/PMC9345110/ /pubmed/35928307 http://dx.doi.org/10.25259/SNI_1152_2021 Text en Copyright: © 2022 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Shimauchi-Ohtaki, Hiroya Honda, Fumiaki Nakamura, Shunsuke Yoshimoto, Yuhei Severe constipation due to sacral perineural cysts in a pediatrics patient: A case report |
title | Severe constipation due to sacral perineural cysts in a pediatrics patient: A case report |
title_full | Severe constipation due to sacral perineural cysts in a pediatrics patient: A case report |
title_fullStr | Severe constipation due to sacral perineural cysts in a pediatrics patient: A case report |
title_full_unstemmed | Severe constipation due to sacral perineural cysts in a pediatrics patient: A case report |
title_short | Severe constipation due to sacral perineural cysts in a pediatrics patient: A case report |
title_sort | severe constipation due to sacral perineural cysts in a pediatrics patient: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9345110/ https://www.ncbi.nlm.nih.gov/pubmed/35928307 http://dx.doi.org/10.25259/SNI_1152_2021 |
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