Epidural abscess and feculent meningitis secondary to stercoral ulcer rupture

Uy, Christopher; Jiang, Shi Yuan; Murray, Melanie

doi:10.1136/bcr-2014-207858

Cited by 1 publication

(4 citation statements)

References 3 publications

(3 reference statements)

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“…in 2014 [ 2 ], an urgent Hartmann's resection for focal perforation of the recto sigmoid junction for the case of Uy et al . [ 7 ] and ileocecal resection of the affected bowel with drainage of the multiple abscesses in R. Maggiore's Case [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…What can be noticed is that after antibiogram most teams used a G penicillin associated with metronidazole. Only one team has chosen to switch with intravenous Piperacillin–Tazobactam [ 7 ]. For five of these studies, the evolution has been favorable [ 2 – 4 , 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Only one team has chosen to switch with intravenous Piperacillin–Tazobactam [ 7 ]. For five of these studies, the evolution has been favorable [ 2 – 4 , 6 , 7 ]. One death occurred in the published literature [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…Definitive paraplegia occurred in one case [ 1 ]. A resolution of intraspinal gas and abscess but persistent sacral osteomyelitis occurred in two cases [ 5 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

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Emergency surgery for epidural abcess secondary to sacral fistula after laparoscopic proctectomy

Zeitoun¹,

Menahem²,

Fohlen³

et al. 2016

J. surg. case rep.

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Definitive paraplegia occurred in one case [ 1 ]. A resolution of intraspinal gas and abscess but persistent sacral osteomyelitis occurred in two cases [ 5 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

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