Fukui Shinji, Iemura Yusuke, Matsumura Yoshiaki, Kagebayashi Yoriaki, Samma Shoji
The Department of Urology, Nara Prefecture General Medical Center·The Department of Urology, Japan Community Health Care Organization Yamato Koriyama Hospital.
The Department of Urology, Nara Prefecture General Medical Center.
Hinyokika Kiyo. 2019 Jan;65(1):23-27. doi: 10.14989/ActaUrolJap_65_1_23.
A 72-old man had undergone robot-assisted laparoscopic prostatectomy for localized prostate cancer (cT2aN0M0). He was referred to us with a complaint of lower abdominal pain, pain at the bilateral inner thigh, gait disturbance and persistent pyuria three months after surgery. A pelvic MRI revealed inflammation of the pubic area, and pubic bone osteomyelitis was suspected. He was admitted and administered doripenem hydrate (DRPM) intravenously for 3 weeks. The symnptoms of gait disturbance, pain at the bilateral inner thigh, and lower abdominal pain were improved gradually. Levofloxacin hydrate (LVFX）wa s administered orally for 8 weeks subsequently. He has been followed and has had no recurrence of these symptoms.
一名72岁男性因局限性前列腺癌（cT2aN0M0）接受了机器人辅助腹腔镜前列腺切除术。术后三个月，他因下腹部疼痛、双侧大腿内侧疼痛、步态障碍和持续性脓尿前来就诊。盆腔MRI显示耻骨区炎症，怀疑为耻骨骨髓炎。他入院后静脉注射多黏菌素B（DRPM）3周。步态障碍、双侧大腿内侧疼痛和下腹部疼痛的症状逐渐改善。随后口服左氧氟沙星水合物（LVFX）8周。对他进行了随访，这些症状没有复发。
