Sacral osteomyelitis: an unusual complication of abdominal sacral colpopexy.

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

International Standard Serial Number (ISSN)

  • 0029-7844

Language

  • eng

Conference Location

  • United States