• Investigative Magnetic Resonance Imaging
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• v.15 no.1
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• pp.72-76
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• 2011

Solitary fibrous tumor (SFT) is a rare neoplasm, which is usually presented as a pleural based mass, but can also occur in unusual locations based on its mesenchymal origin. However, the radiologic features of SFT occurred in the ischiorectal fossa have been rarely reported. In this case, we describe the MRI findings in a case of a SFT involving the ischiorectal fossa of a 36-year-old man. The tumor appeared as homogeneous iso-signal intensity relative to the adjacent muscle on T1 weighted images, a mixed high signal intensity on the T2 weighted images, and heterogeneous enhancement following the administration of the contrast material.

• The Korean Journal of Pain
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• v.25 no.2
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• pp.89-93
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• 2012

Background: Hemorrhoid is one of the most common surgical diseases occurring in the anorectal region. In this study, we evaluated the effect of ischiorectal fossa block on alleviating post hemorrhoidectomy pain. Methods: In this study, 90 patients suffering from hemorrhoids were evaluated. They were randomly divided into 3 groups. The first group had no block, the second group an ischiorectal block with placebo (normal saline), and the third group a preemptive ischiorectal block with bupivacaine. Postoperative variables such as pain intensity, pethidine consumption, nausea, and vomiting were compared between the groups. Results: The postoperative pain score in group 1 was $8.5{\pm}1.3$ and $8.1{\pm}0.9$ (P=NS) in group 2. The post operative analgesic demand was $3.1{\pm}1.5$ and $3.3{\pm}1.8$ hours in groups 1 and 2, respectively (P=NS). The post operative pain score and analgesic demand were $4.2{\pm}2.1$ and $9.3{\pm}2.7$ hours, respectively, in group 3 (P < 0.0001). Conclusions: Preemptive ischiorectal block reduces the posthemorrhoidectomy pain and opioid demand.