General and Emergency Surgery Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico di Milano, via F, Sforza 35-20100, Milano, Italy.
World J Emerg Surg. 2013 Dec 27;8(1):56. doi: 10.1186/1749-7922-8-56.
Pyogenic vertebral osteomyelitis is a rare condition usually associated with endocarditis or spinal surgery. However, it may also occur following abdominal penetrating trauma with associated gastrointestinal perforation. Diagnosis might be challenging and appropriate treatment is essential to ensure a positive outcome. In trans-abdominal trauma, 48 hours of broad-spectrum antibiotics is generally recommended for prophylaxis of secondary infections. A case report of vertebral osteomyelitis complicating trans-colonic injury to the retroperitoneum is presented and clinical management is discussed in the light of literature review.
化脓性脊柱骨髓炎是一种罕见的疾病，通常与心内膜炎或脊柱手术有关。然而，它也可能发生在腹部穿透性创伤伴相关胃肠道穿孔后。诊断可能具有挑战性，适当的治疗对于确保良好的预后至关重要。在腹部创伤中，通常建议在 48 小时内使用广谱抗生素预防继发感染。本文报告了一例并发腹膜后横结肠损伤的脊柱骨髓炎病例，并结合文献复习讨论了其临床处理方法。
