Alpantaki Kalliopi, Papoutsidakis Antonis, Katonis Pavlos, Hadjipavlou Alexander
Department of Orthopaedics, University of Crete, Greece.
Acta Orthop Belg. 2007 Oct;73(5):670-3.
We report on a patient who developed persistent low back pain, pyrexia and neurological deficit soon after she underwent a laparotomy under combined general and epidural anaesthesia. The diagnosis of lumbar vertebral osteomyelitis, discitis, epidural and psoas abscesses was made one month later when she was referred to our institution. The patient was successfully treated with posterior decompression, drainage of the epidural abscess and fusion in combination with percutaneous, computed tomography-guided needle aspiration of the psoas abscesses.
我们报告了一名患者，她在全身麻醉联合硬膜外麻醉下行剖腹手术后不久出现持续性腰痛、发热和神经功能缺损。一个月后，当她被转诊到我们机构时，被诊断为腰椎骨髓炎、椎间盘炎、硬膜外脓肿和腰大肌脓肿。该患者通过后路减压、硬膜外脓肿引流和融合术，并结合经皮计算机断层扫描引导下腰大肌脓肿穿刺抽吸术，得到了成功治疗。
