Saliba Thomas, Mocanu Iulia, Pather Sanjiva
ULB, BE.
CHIREC Braine-L'Alleud, BE.
J Belg Soc Radiol. 2022 May 4;106(1):33. doi: 10.5334/jbsr.2699. eCollection 2022.
Promontofixations can be a rare cause of spondylodiscitis due to the material used getting infected. We present here a case of a 75-year-old woman who underwent a subtotal hysterectomy, followed by a trachelectomy, and presented 15 years later with lumbago and fever. After thorough examination, haemocultures and imaging were performed. This led to the diagnosis of spondylodiscitis of L5-S1, likely due to S. constellatus, with a fistula into the vagina. The patient received surgical treatment. This case is unusual due to the time lapse between the hysterectomy and the infection as well as the probable pathogen. Promontofixation material can remain despite hysterectomy and can be a source of infection many years after the operation has taken place.
由于所使用的材料发生感染，骶岬固定术可能是脊椎椎间盘炎的罕见病因。我们在此报告一例75岁女性病例，该患者接受了子宫次全切除术，随后又进行了宫颈切除术，15年后出现腰痛和发热。经过全面检查后，进行了血培养和影像学检查。这导致诊断为L5-S1脊椎椎间盘炎，可能由星座链球菌引起，并伴有通向阴道的瘘管。患者接受了手术治疗。该病例不同寻常之处在于子宫切除术后至感染之间的时间间隔以及可能的病原体。尽管进行了子宫切除术，骶岬固定材料仍可能留存，并且可能在手术后多年成为感染源。
