Literature DB >> 29477995

Postoperative epidural abscess after spinal anaesthesia for a circumcision necessitated by phimosis.

Sjaak Pouwels1,2, Darryl M Coll3,4, Alexander G J van Marle1,2.   

Abstract

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. © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Entities:  

Keywords:  anaesthesia; circumcision; pain; sedation

Mesh:

Substances:

Year:  2018        PMID: 29477995      PMCID: PMC5847936          DOI: 10.1136/bcr-2017-223136

Source DB:  PubMed          Journal:  BMJ Case Rep        ISSN: 1757-790X


  6 in total

1.  Spinal epidural abscess.

Authors:  A S Baker; R G Ojemann; M N Swartz; E P Richardson
Journal:  N Engl J Med       Date:  1975-09-04       Impact factor: 91.245

2.  To decompress or not to decompress--spinal epidural abscess.

Authors:  A S Baker; R G OJemann; R A Baker
Journal:  Clin Infect Dis       Date:  1992-07       Impact factor: 9.079

3.  Epidural abscess: a hazard of spinal epidural anaesthesia.

Authors:  J B North; B P Brophy
Journal:  Aust N Z J Surg       Date:  1979-08

4.  Multiple epidural abscesses and spinal anesthesia in a diabetic patient. Case report.

Authors:  V Mahendru; D R Bacon; M J Lema
Journal:  Reg Anesth       Date:  1994 Jan-Feb

5.  Update on spinal epidural abscess: 35 cases and review of the literature.

Authors:  R L Danner; B J Hartman
Journal:  Rev Infect Dis       Date:  1987 Mar-Apr

Review 6.  Magnetic resonance imaging and the nonoperative treatment of spinal epidural abscess.

Authors:  W C Hanigan; N G Asner; P W Elwood
Journal:  Surg Neurol       Date:  1990-12
  6 in total

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