Perianal Pain as a Presentation of Lumbosacral Neurofibroma: A Case Report

Mehdi Moghaddasi, Mahboubeh Aghaii, Mansoureh Mamarabadi

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Rectal and perianal pain is a common problem. Most people have experienced it at least once in their lifetime. It usually manifests as mild discomfort, but sometimes the pain can be so severe that it is incapacitating. A 59-year-old woman admitted with a 2-year history of paroxysmal perianal pain underwent a full work-up including proctoscopy, sigmoidoscopy, full colonoscopy, and barium enema that were unremarkable. Lumbosacral magnetic resonance imaging with and without gadolinium showed an intradural-extramedullary lesion at the level of L5. The pathologic diagnosis was a neurofibroma. She underwent surgery, and after a few weeks she felt well and medication was no longer needed for her paroxysmal pain. Although one should consider the usual causes of colorectal pain such as hemorrhoids, anal fissure, proctalgia fugax, and chronic perianal pain syndrome, we should keep in mind that some referral pain may mimic local pathologies and should be evaluated properly.

Original languageEnglish (US)
Pages (from-to)e191-e193
JournalJournal of Neurological Surgery Reports
Volume75
Issue number2
DOIs
StatePublished - Jul 21 2014

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

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