Koutserimpas C, Nikitakis N, Skarpas A, Lada M, Papachristou E, Velimezis G
G Chir. 2017 May-Jun;38(3):135-138. doi: 10.11138/gchir/2017.38.3.135.
Pilonidal sinus or pilonidal cyst is a common benign disease, affecting mostly young working men. We present the first case of an epidural abscess imitating pilonidal sinus. A 33-year old male, suffering from previously undiagnosed and untreated diabetes mellitus (DM), presented to our emergency department (ER), one month after open surgical treatment of pilonidal sinus, due to weakness and fever. After re-operation of the pilonidal cyst and due to post-operative pus production and continuation of fever a computer tomogr aphy (CT )scan was performed revealing an epidural abscess extending from the thoracic vertebrae 12 (T-12) to the sacrococcygeal area. At that point he underwent new surgery for drainage of the epidural abscess. The patient received intravenous antimicrobial treatment and was discharged on the 23rd postoperative day without signs or symptoms of infection. At follow up for a whole year no signs of recurrence have been observed.
藏毛窦或藏毛囊肿是一种常见的良性疾病，主要影响年轻的在职男性。我们报告首例模仿藏毛窦的硬膜外脓肿病例。一名33岁男性，患有先前未诊断和未治疗的糖尿病（DM），在藏毛窦开放手术治疗一个月后，因虚弱和发热就诊于我们的急诊科（ER）。在藏毛囊肿再次手术后，由于术后有脓液产生且持续发热，进行了计算机断层扫描（CT），发现硬膜外脓肿从第12胸椎（T - 12）延伸至骶尾区域。此时，他接受了新的手术以引流硬膜外脓肿。患者接受了静脉抗菌治疗，并在术后第23天出院，没有感染的迹象或症状。在长达一年的随访中，未观察到复发迹象。
