Epidural abscess and feculent meningitis secondary to stercoral ulcer rupture
| Autor: | Melanie C.M. Murray, Shi Yuan Jiang, Christopher E Uy |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Abdominal pain Epidural abscess Perforation (oil well) Fecal Impaction Spinal Cord Diseases Article Colonic Diseases Colon Sigmoid Yeasts Tubulovillous adenoma medicine Humans Meningitis Ulcer Aged Rupture Bacteria Sacrococcygeal Region business.industry Osteomyelitis General Medicine Sacrum medicine.disease Epidural space Surgery medicine.anatomical_structure Spinal Cord Stercoral ulcer Epidural Abscess medicine.symptom business |
| Zdroj: | Case Reports. 2015:bcr2014207858-bcr2014207858 |
| ISSN: | 1757-790X |
| Popis: | This 68-year-old Caucasian male presented with fever of 39.8°C, rigours, hypotension, urinary retention and 2 weeks of abdominal pain. Medical background included colonisation with methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE), hypertension, remote ischaemic stroke, coronary bypass, peripheral vascular disease with toe amputation and anterior resection 9 months prior for rectosigmoid mass (benign tubulovillous adenoma). Abdominal/pelvic CT demonstrated severe faecal impaction and focal perforation at the posterolateral rectosigmoid junction. A large collection posterior to the perforation extended into the presacral musculature. Debris and gas bubbles further extended into the epidural space at L3 (figure 1A–C). Subsequent MRI confirmed intraspinal gas, sacral osteomyelitis and posterior L3 epidural abscess extending inferiorly into the sacrum. Figure 1 (A) Sagittal section. … |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|