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
Electronic International Standard Serial Number (EISSN)
- 1873-233X
International Standard Serial Number (ISSN)
- 0029-7844
Digital Object Identifier (DOI)
- 10.1016/s0029-7844(97)00306-2
Language
- eng