Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Zeitoun, Jeremie, Menahem, Benjamin, Fohlen, Audrey, Lebreton, Gil, Lubrano, Jean, Alves, Arnaud
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2016
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
_version_ 1782443041467924480
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
work_keys_str_mv AT zeitounjeremie emergencysurgeryforepiduralabcesssecondarytosacralfistulaafterlaparoscopicproctectomy
AT menahembenjamin emergencysurgeryforepiduralabcesssecondarytosacralfistulaafterlaparoscopicproctectomy
AT fohlenaudrey emergencysurgeryforepiduralabcesssecondarytosacralfistulaafterlaparoscopicproctectomy
AT lebretongil emergencysurgeryforepiduralabcesssecondarytosacralfistulaafterlaparoscopicproctectomy
AT lubranojean emergencysurgeryforepiduralabcesssecondarytosacralfistulaafterlaparoscopicproctectomy
AT alvesarnaud emergencysurgeryforepiduralabcesssecondarytosacralfistulaafterlaparoscopicproctectomy