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Der Gynäkologe

, Volume 51, Issue 8, pp 671–675 | Cite as

Spondylodiszitis nach Sakropexie

Ursache für Gangunsicherheit und Rückenschmerzen
  • Gesine Meili
  • Jürg Schneider
  • Marianne Sigg
  • Corina Christmann
Gynäkologie aktuell

Zusammenfassung

Osteomyelitiden nach Sakrokolpopexien stellen eine seltene Komplikation dar, die für die Betroffenen meist umfangreiche Therapien nach sich ziehen: Nachoperationen mit oft persistierenden Beschwerden, Schmerzen oder gar Invalidität können Folgen sein. Wir diskutieren diese Komplikation anhand eines eigenen Falles und geben einen Überblick zur Literatur. Goldstandard in der Therapie ist eine Langzeitantibiose nach Antibiogramm. Manchmal ist jedoch auch eine operative Therapie mit Mesh-Entfernung indiziert. Wir beschreiben einen Fall einer konservativ behandelten Osteomyelitis nach laparoskopischer Sakrokolpopexie.

Schlüsselwörter

Beckenorganprolaps Reoperation Antibakterielle Agenzien Osteomyelitis Diagnostische Bildgebung 

Abkürzungen

CRP

C-reaktives Protein

ISG

Iliosakralgelenk

KM

Kontrastmittel

LWS

Lumbalwirbelsäule

MRT

Magnetresonanztomographie

Spondylodiscitis after sacrocolpopexy

Cause of unsteady gait and back pain

Abstract

Osteomyelitis/spondylodiscitis is a rare complication after sacrocolpopexy. Symptoms that may appear weeks or months after surgery include back pain, neurological symptoms, fatigue, and increased inflammatory parameters in blood. The causes of this severe complication seem to originate from vaginal and urological infections, hematogenous infections, and extrusion of the mesh. Gold standard therapy is long-term antibiotic treatment based on antibiotic susceptibility testing. In some cases, the mesh must be surgically removed. We present the case of a 70-year-old woman who underwent sacrocolpopexy for apical compartment prolapse. Presenting with lower back pain and fever 9 weeks after surgery, the woman was diagnosed with spondylodiscitis and treated conservatively.

Keywords

Pelvic organ prolapse Reoperation Anti-bacterial agents Osteomyelitis Diagnostic imaging 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

G. Meili, J. Schneider, M. Sigg und C. Christmann geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  • Gesine Meili
    • 1
  • Jürg Schneider
    • 2
  • Marianne Sigg
    • 3
  • Corina Christmann
    • 1
  1. 1.Neue FrauenklinikLuzerner KantonsspitalLuzernSchweiz
  2. 2.FrauenklinikGZO Spital WetzikonWetzikonSchweiz
  3. 3.RadiologieGZO Spital WetzikonWetzikonSchweiz

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