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长节段脊髓硬膜外脓肿合并急性肠梗阻:病例报告及文献复习

Long Segment Spinal Epidural Abscess With Acute Intestinal Obstruction: A Case Report and Literature Review.

作者信息

Bohara Shitashma, Karki Susmin, Thapa Bikas, Khanal Niharika, Ghimire Bikal, Bohara Sandeep, Pradhanang Amit, Sharma Mohan R

机构信息

Star Hospital Lalitpur Nepal.

Maharajgunj Medical Campus Tribhuvan University Institute of Medicine Maharajgunj Nepal.

出版信息

Clin Case Rep. 2025 Sep 28;13(10):e71058. doi: 10.1002/ccr3.71058. eCollection 2025 Oct.

Abstract

Spinal epidural abscess (SEA) is a life-threatening condition that often presents with non-specific symptoms, resulting in a delay in diagnosis and treatment. Rarely, it can co-exist with acute abdominal conditions, which can further complicate the diagnosis and management. Delay in diagnosis and the presence of comorbidities may result in unfavorable outcomes. We present a case of a 55-year-old male diagnosed with a spinal epidural abscess presenting as low back pain, fever, and paraparesis. This case report aims to investigate the clinical presentation, diagnostic challenges, and treatment approaches for spinal epidural abscesses in low and middle-income countries.

摘要

脊柱硬膜外脓肿(SEA)是一种危及生命的疾病,常表现为非特异性症状,导致诊断和治疗延迟。极少数情况下,它可与急性腹部疾病并存,这会使诊断和管理进一步复杂化。诊断延迟和合并症的存在可能导致不良后果。我们报告一例55岁男性患者,诊断为脊柱硬膜外脓肿,表现为腰痛、发热和下肢轻瘫。本病例报告旨在探讨低收入和中等收入国家脊柱硬膜外脓肿的临床表现、诊断挑战及治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a4/12476968/9d8dcddb63d9/CCR3-13-e71058-g001.jpg

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