title: Sacroiliac fascial lipocele could be a neglected cause of lumbosacral pain: case study of percutaneous endoscopic treatment.
abstract: The pathological entities commonly associated with lumbosacral pain are the intervertebral discs, facet joints or surrounding muscle. However, in the absence of diagnostic confirmation of the aforementioned structures, the diagnosis may become confusing and intractable. Sacroiliac fascial lipocele (SFL), namely, pannicular hernia, could be a neglected cause. First reported by Ficarra et al in 1952, it was highlighted by the formation of lipocele in the sacroiliac fascia. Mostly, it could be spontaneously eliminated under conservative therapy. However, for intractable pain, surgical intervention may be the only choice. We will first present a typical case of SFL which was treated by percutaneous endoscopic surgery. Ultimately, a satisfactory outcome was achieved and maintained at 12 months follow-up. It is important to distinguish SFL some cases with lumbosacral back pain. Detailed physical examination, superficial ultrasonography and diagnostic nerve block are extremely valuable for acquiring a precise diagnosis. Overall, when considering the clinical outcome of such cases and the foregoing benefits, percutaneous endoscopic treatment could be an efficacious alternative treatment for SFL-related lumboscral back pain.
authors: Department of Spinal Surgery, Hong-Hui Hospital, Medical College of Xi'an Jiaotong University, Xi'an, 710054, China; Department of Orthopaedics, the Second Affiliated Hospital, Chongqing Medical University, Chongqing, 400010, China.
authors: Jun-Song
authors: JS
authors: Yang
authors: Lei
authors: L
authors: Chu
authors: Ding-Jun
authors: DJ
authors: Hao
authors: Yuan-Yi
authors: YY
authors: Zhen
authors: Zhong-Liang
authors: ZL
authors: Deng
mesh_terms: D004724:Endoscopy / Q000379:methods; D005260:Female; D006547:Hernia / Q000150:complications / Q000000981:diagnostic imaging; D059685:Herniorrhaphy; D006801:Humans; D017116:Low Back Pain / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008161:Lumbosacral Region / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D012446:Sacroiliac Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D014463:Ultrasonography