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

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

Turk J Phys Med Rehabil

Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, Marmara University Faculty of Medicine, Istanbul, Türkiye.

Published: March 2023

AI Article Synopsis

  • The report describes a rare case of rectal perforation during a ganglion impar blockade in a 38-year-old female, despite prior warnings about the risks.
  • The procedure was performed using a transsacrococcygeal approach with fluoroscopy, and factors like incorrect needle choice and the patient's anatomy may have contributed to the complication.
  • This study is significant as it is the first documented case and images of rectal perforation associated with ganglion impar blockade, highlighting the need for proper technique and caution.

Article Abstract

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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10186016PMC
http://dx.doi.org/10.5606/tftrd.2022.8874DOI Listing

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