Lumbar disc herniation presenting with fecal incontinence without radiculopathy: A case report.

Surg Neurol Int

Department of Neurosurgery, University Hospital of Thessaly, University Hospital of Larissa, Larissa, Greece.

Published: July 2021

Background: Lumbar disc herniation (LDH) usually presents with lower extremity symptoms and signs, but rarely with bladder and bowel complaints. Here, we present a 61-year-old female who suffered solely from fecal incontinence (FI) attributed to a large LDH.

Case Description: The patient presented with FI, but had a normal neurological examination. When the lumbar magnetic resonance imaging of showed a large central L5S1 LDH, the patient underwent an urgent diskectomy. Six months later, her symptoms had improved.

Conclusion: Patients with large central LDHs may present with FI alone warranting urgent/emergent disc removal.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8326069PMC
http://dx.doi.org/10.25259/SNI_600_2021DOI Listing

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