Sacral osteomyelitis: an unusual complication of abdominal sacral colpopexy.
Journal Article (Journal Article)
BACKGROUND: Abdominal sacral colpopexy using permanent mesh is an established technique for repair of vaginal vault prolapse. Infection is not a frequent complication. We report two cases of lumbosacral osteomyelitis treated with intravenous antibiotics without mesh removal. CASES: The first patient had known advanced degenerative arthritis. Unremitting severe low back pain 5 years after abdominal sacral colpopexy prompted magnetic resonance imaging (MRI), revealing osteomyelitis and diskitis. The second patient developed symptoms 2 months postoperatively, and MRI indicated osteomyelitis with epidural abscess. Both patients received intravenous antibiotics, and neither required surgical debridement or mesh removal. CONCLUSION: Osteomyelitis can present remote from the operation and can be difficult to diagnose. Protracted parenteral antibiotic therapy can be definitive treatment without mesh removal.
Full Text
Duke Authors
Cited Authors
- Weidner, AC; Cundiff, GW; Harris, RL; Addison, WA
Published Date
- October 1997
Published In
Volume / Issue
- 90 / 4 Pt 2
Start / End Page
- 689 - 691
PubMed ID
- 11770599
Pubmed Central ID
- 11770599
International Standard Serial Number (ISSN)
- 0029-7844
Digital Object Identifier (DOI)
- 10.1016/s0029-7844(97)00306-2
Language
- eng
Conference Location
- United States