The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
권호 표지
DOI QR코드

DOI QR Code

Lumbar Plexopathy Caused by Metastatic Tumor, Which Was Mistaken for Postoperative Femoral Neuropathy

  • Lee, Ki-Hwa (Department of Anesthesiology and Pain Medicine, Inje University Haeundae Paik Hospital) ;
  • Choe, Ji-Hyun (Busan St. Mary's Medical Center) ;
  • Lee, Sang-Eun (Department of Anesthesiology and Pain Medicine, Inje University Haeundae Paik Hospital) ;
  • Park, Jae-Hong (Department of Anesthesiology and Pain Medicine, Inje University Haeundae Paik Hospital) ;
  • Bang, Si-Ra (Department of Anesthesiology and Pain Medicine, Inje University Haeundae Paik Hospital) ;
  • Kim, Yong-Han (Department of Anesthesiology and Pain Medicine, Inje University Haeundae Paik Hospital) ;
  • Jeon, Sang-Yoon (Department of Anesthesiology and Pain Medicine, Inje University Haeundae Paik Hospital)
  • Received : 2011.09.30
  • Accepted : 2011.11.15
  • Published : 2011.12.01
Download PDF
⟨ Previous Next ⟩

Abstract

Surgical excision was performed on a 30-years old woman with a painful mass on her left thigh. The pathologic findings on the mass indicated fibromatosis. After the operation, she complained of allodynia and spontaneous pain at the operation site and ipsilateral lower leg. We treated her based on postoperative femoral neuropathy, but symptom was aggravated. We found a large liposarcoma in her left iliopsoas muscle which compressed the lumbar plexus. In conclusion, the cause of pain was lumbar plexopathy related to a mass in the left iliopsoas muscle. Prompt diagnosis of acute neuropathic pain after an operation is important and management must be based on exact causes.

Keywords

References

  1. Kehlet H, Rathmell JP. Persistent postsurgical pain: the path forward through better design of clinical studies. Anesthesiology 2010; 112: 514-5. https://doi.org/10.1097/ALN.0b013e3181cf423d
  2. Niraj G, Rowbotham DJ. Persistent postoperative pain: where are we now? Br J Anaesth 2011; 107: 25-9. https://doi.org/10.1093/bja/aer116
  3. Pechter EA, Smith PB. Transient femoral neuropathy after abdominoplasty. Ann Plast Surg 2008; 61: 492-3. https://doi.org/10.1097/SAP.0b013e31816c5cbe
  4. Van Veer H, Coosemans W, Pirenne J, Monbaliu D. Acute femoral neuropathy: a rare complication after renal transplantation. Transplant Proc 2010; 42: 4384-8. https://doi.org/10.1016/j.transproceed.2010.07.013
  5. Wilson M, Ramage L, Yoong W, Swinhoe J. Femoral neuropathy after vaginal surgery: a complication of the lithotomy position. J Obstet Gynaecol 2011; 31: 90-1. https://doi.org/10.3109/01443615.2010.528082
  6. Crombie IK, Davies HT, Macrae WA. Cut and thrust: antecedent surgery and trauma among patients attending a chronic pain clinic. Pain 1998; 76: 167-71. https://doi.org/10.1016/S0304-3959(98)00038-4
  7. Kehlet H, Jensen TS, Woolf CJ. Persistent postsurgical pain: risk factors and prevention. Lancet 2006; 367: 1618-25. https://doi.org/10.1016/S0140-6736(06)68700-X
  8. Planner AC, Donaghy M, Moore NR. Causes of lumbosacral plexopathy. Clin Radiol 2006; 61: 987-95. https://doi.org/10.1016/j.crad.2006.04.018
  9. Lee GH. Disc herniation. In: Pain medicine. 3rd ed. Edited by The Korean pain society. Seoul, Koonja Publishing Inc. 2007, pp 271-7.
  10. Al-Ajmi A, Rousseff RT, Khuraibet AJ. Iatrogenic femoral neuropathy: two cases and literature update. J Clin Neuromuscul Dis 2010; 12: 66-75. https://doi.org/10.1097/CND.0b013e3181f3dbe7
  11. Tong HC. Specificity of needle electromyography for lumbar radiculopathy in 55- to 79-yr-old subjects with low back pain and sciatica without stenosis. Am J Phys Med Rehabil 2011; 90: 233-8. https://doi.org/10.1097/PHM.0b013e31820b163b
  12. Prendergast B, Fiveash JB, Gibbs CP, Scarborough MT, Indelicato DJ. Radiotherapy for soft tissue sarcoma of the proximal lower extremity. Sarcoma 2010; 2010: 829498.
  13. Mackenzie DH. The fibromatoses: a clinicopathological concept. Br Med J 1972; 4: 277-81. https://doi.org/10.1136/bmj.4.5835.277