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Emergency surgery for epidural abcess secondary to sacral fistula after laparoscopic proctectomy
A 61-year-old man presented via the emergency department with a few days history of abdominal and colic occlusion symptoms. He presented signs of sepsis, midline lumbar spine tenderness and reduced hip flexion. Computer tomography of the abdomen and pelvis showed a presacral collection contiguous wi...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4946530/ https://www.ncbi.nlm.nih.gov/pubmed/27421299 http://dx.doi.org/10.1093/jscr/rjw108 |
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author | Zeitoun, Jeremie Menahem, Benjamin Fohlen, Audrey Lebreton, Gil Lubrano, Jean Alves, Arnaud |
author_facet | Zeitoun, Jeremie Menahem, Benjamin Fohlen, Audrey Lebreton, Gil Lubrano, Jean Alves, Arnaud |
author_sort | Zeitoun, Jeremie |
collection | PubMed |
description | A 61-year-old man presented via the emergency department with a few days history of abdominal and colic occlusion symptoms. He presented signs of sepsis, midline lumbar spine tenderness and reduced hip flexion. Computer tomography of the abdomen and pelvis showed a presacral collection contiguous with the posterior part of the colo-rectal anastomosis, and MRI lumbar spine revealed abscess invation into the epidural space. He underwent a laparotomy with washout of the presacral abscess and a colostomy with a prolonged course of intravenous antibiotic therapy. At 3 weeks after initial presentation he had made a full clinical recovery with progressive radiological resolution of the epidural abscess. The objective of the case report is to highlight a unique and clinically significant complication of a rare post-operative complication after rectal surgery and to briefly discuss other intra-abdominal sources of epidural abscess. |
format | Online Article Text |
id | pubmed-4946530 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-49465302016-07-19 Emergency surgery for epidural abcess secondary to sacral fistula after laparoscopic proctectomy Zeitoun, Jeremie Menahem, Benjamin Fohlen, Audrey Lebreton, Gil Lubrano, Jean Alves, Arnaud J Surg Case Rep Case Report A 61-year-old man presented via the emergency department with a few days history of abdominal and colic occlusion symptoms. He presented signs of sepsis, midline lumbar spine tenderness and reduced hip flexion. Computer tomography of the abdomen and pelvis showed a presacral collection contiguous with the posterior part of the colo-rectal anastomosis, and MRI lumbar spine revealed abscess invation into the epidural space. He underwent a laparotomy with washout of the presacral abscess and a colostomy with a prolonged course of intravenous antibiotic therapy. At 3 weeks after initial presentation he had made a full clinical recovery with progressive radiological resolution of the epidural abscess. The objective of the case report is to highlight a unique and clinically significant complication of a rare post-operative complication after rectal surgery and to briefly discuss other intra-abdominal sources of epidural abscess. Oxford University Press 2016-07-15 /pmc/articles/PMC4946530/ /pubmed/27421299 http://dx.doi.org/10.1093/jscr/rjw108 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2016. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/ licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Zeitoun, Jeremie Menahem, Benjamin Fohlen, Audrey Lebreton, Gil Lubrano, Jean Alves, Arnaud Emergency surgery for epidural abcess secondary to sacral fistula after laparoscopic proctectomy |
title | Emergency surgery for epidural abcess secondary to sacral fistula after laparoscopic proctectomy |
title_full | Emergency surgery for epidural abcess secondary to sacral fistula after laparoscopic proctectomy |
title_fullStr | Emergency surgery for epidural abcess secondary to sacral fistula after laparoscopic proctectomy |
title_full_unstemmed | Emergency surgery for epidural abcess secondary to sacral fistula after laparoscopic proctectomy |
title_short | Emergency surgery for epidural abcess secondary to sacral fistula after laparoscopic proctectomy |
title_sort | emergency surgery for epidural abcess secondary to sacral fistula after laparoscopic proctectomy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4946530/ https://www.ncbi.nlm.nih.gov/pubmed/27421299 http://dx.doi.org/10.1093/jscr/rjw108 |
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