Atypical spinal epidural lipomatosis: diagnostic strategy and treatment with AUSS technique-A case report.

IF 1.9 4区医学 Q2 SURGERY

Frontiers in Surgery Pub Date : 2026-09-29 eCollection Date: 2026-01-01 DOI:10.3389/fsurg.2026.1980348

Ke Deng, Leilei Wu, Long Peng, Quan Yuan, Changhua Peng, Xiao Yang, Chuan He, Xiaolin Li, Chaoju Zhang

引用次数: 0

Abstract

Spinal epidural lipomatosis (SEL) often presents with atypical symptoms, leading to misdiagnosis and delayed treatment, which significantly affects patients' quality of life. The optimal treatment for SEL remains controversial. We report a case of SEL in a patient whose sole symptom was perianal pain-a presentation not previously documented in the literature. We summarize the clinical data and the use of arthroscopic-assisted uniportal spinal surgery (AUSS) for treatment, offering a novel approach for managing symptomatic SEL.

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非典型脊髓硬膜外脂肪增多症：AUSS技术的诊断策略和治疗- 1例报告。

脊髓硬膜外脂瘤病（Spinal硬膜外lipomatosis， SEL）常表现为不典型症状，导致误诊和延误治疗，严重影响患者的生活质量。SEL的最佳治疗方法仍然存在争议。我们报告一个病例SEL患者的唯一症状是肛周疼痛-以前没有文献记载的表现。我们总结了临床资料和使用关节镜辅助的单门脊柱手术（AUSS）治疗，为治疗症状性SEL提供了一种新的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Surgery Medicine-Surgery

CiteScore

1.90

自引率

11.10%

发文量

1872

审稿时长

12 weeks

期刊介绍： Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.