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KMID : 0361420150390050844
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Journal of Korean Academy of Rehabilitation Medicine
2015 Volume.39 No. 5 p.844 ~ p.847
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Lower Extremity Radicular Pain Caused by Entrapped Sigmoid Colon Between L5 and S1 Vertebrae
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Ko Sang-Hyung
Park Noh-Kyoung
Cho Kyoung-Jin
Baek Jung-Hyun
Lim Jeong-Wook
Choi Dong-Jin
Kang Sang-Kuk
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Abstract
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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.
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KEYWORD
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Radiculopathy, Intervertebral disc, Colon entrapmenttebrae
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