经直肠超声引导下前列腺活检后并发脊柱炎、硬膜外脓肿和腰大肌脓肿：1例罕见病例报告

Spondylodiscitis with Epidural and Psoas Muscle Abscesses as Complications After Transrectal Ultrasound-guided Prostate Biopsy: Report of a Rare Case.

作者信息

Li Chiao-Ching, Li Chiao-Zhu, Wu Sheng-Tang, Cha Tai-Lung, Tang Shou-Hung

机构信息

Department of Surgery, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan.

Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

出版信息

Eur J Case Rep Intern Med. 2017 Aug 2;4(8):000694. doi: 10.12890/2017_000694. eCollection 2017.

DOI:10.12890/2017_000694

PMID:30755964

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6346856/

Abstract

UNLABELLED

A 71-year-old man presented with spondylodiscitis with epidural and psoas muscle abscesses following transrectal ultrasound (TRUS)-guided prostate biopsy. These rare complications were detected by computed tomography of the abdomen and magnetic resonance imaging of the lumbar spine. The patient was successfully treated with antibiotics and underwent neurosurgery. Awareness of presentations such as backache and weakness of the lower limbs after prostate biopsy is important as these symptoms are usually mistaken for bone or muscle problems and often not recognized as being related to infection.

LEARNING POINTS

We describe the case of a patient who experienced two major complications (spondylodiscitis with epidural abscess and psoas muscle abscess) following prostate biopsy.Awareness of these potential complications following prostate biopsy is essential to prevent life-threatening consequences.

摘要

未标注

一名71岁男性在经直肠超声（TRUS）引导下进行前列腺活检后出现脊椎椎间盘炎，并伴有硬膜外和腰大肌脓肿。这些罕见的并发症通过腹部计算机断层扫描和腰椎磁共振成像检测到。患者通过抗生素治疗成功，并接受了神经外科手术。认识到前列腺活检后出现背痛和下肢无力等表现很重要，因为这些症状通常被误诊为骨骼或肌肉问题，且常常未被识别为与感染有关。