Postoperative epidural abscess after spinal anaesthesia for a circumcision necessitated by phimosis
| Autor: | Alexander G. J. van Marle, Sjaak Pouwels, Darryl M Coll |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Epidural abscess Sedation Anesthesia Spinal Lumbar Postoperative Complications medicine Back pain Humans Abscess Aged Unexpected Outcome (Positive or Negative) Including Adverse Drug Reactions business.industry Spinal anesthesia General Medicine Emergency department Phimosis medicine.disease Spinal cord Magnetic Resonance Imaging Surgery Anti-Bacterial Agents medicine.anatomical_structure Circumcision Male Epidural Abscess Drainage medicine.symptom business |
| Popis: | A 70-year-old man was admitted to our hospital for a penile circumcision due to phimosis using continuous dose spinal anaesthesia. On postoperative day 10 he came to the emergency department with a superficial abscess localised at the injection site of the spinal catheter. He was treated with intravenous antibiotics for 10 days, and the superficial abscess was incised and drained. Ten days later, the patient was readmitted to the emergency department with complaints of back pain and fever. A repeat MRI scan of his lumbar sacral area was done and showed epidural abscesses without any compression of the medulla or the myelum. The patient did not have any signs of spinal cord or nerve root compression at that time. He was treated with intravenous antibiotics with resolution of symptoms. |
| Databáze: | OpenAIRE |
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