Abstract
PURPOSE: This study was conducted to report the rare presentation of lumbar osteomyelitis and epidural abscess as a complication of a pilonidal cyst. METHODS: A case report is presented. RESULTS: We describe the rare case of a male patient with diabetes with a recurring pilonidal cyst who developed a lumbar osteomyelitis and epidural abscess three weeks after pilonidal cyst excision with epidural anesthesia, with a fatal outcome despite emergency treatment. CONCLUSIONS: Life-threatening complications should be kept in mind in high-risk patients with repetitive surgery and neurologic involvement.
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Goligher JC. Surgery of the anus, rectum and colon. London: Bailliere Tindall, 1976:260–1.
Mateo S, Moreno Latorre JS, Blazquez C, Echevarria J. Osteomielitis sacra complicada con meningitis aguda secundaria a una fístula pilonidal. Rev Quir Esp 1984;11:212–5.
Shlasko E, Harris MT, Benjamin E, Iberti TJ, Steinhagen RM. Toxic shock syndrome after pilonidal cystectomy: report of a case. Dis Colon Rectum 1991;34:502–5.
Cobb WB, Helms CM, Moseley PC. Toxic shock syndrome in a young man with a pilonidal abscess. N Engl J Med 1982;306:1422–3.
Baker AS, Ojemann RG, Swartz MN, Richardson EP Jr. Spinal epidural abscess. N Engl J Med 1975;293:463–8.
North JB, Brophy BP. Epidural abscess: a hazard of spinal epidural anaesthesia. Aust N Z J Surg 1979;44:484–5.
Verner EF, Musher DM. Spinal epidural abscess. Med Clin North Am 1985;69:375–84.
Danner RL, Hartman BJ. Update of spinal epidural abscess: 35 cases and review of the literature. Rev Infect Dis 1987;9:265–74.
Angtuaco EJ, McConnell JR, Chadduck WM, Flanigan S, Binet E. MR imaging of spinal epidural sepsis. AJR Am J Roentgenol 1987;149:1249–53.
Sartorius DJ, Resnick D. Diagnóstico precoz de la infección espinal pro RM y TAC. Highlights From: Infections in Surgery 1987;4:17–9.
Ferguson JF, Kirsch WM. Epidural empyema following thoracic extradural block. J Neurosurg 1974;41:762–4.
Ngan Kee WD, Jones MR, Thomas P, Worth RJ. Extradural abscess complicating extradural anaesthesia for caesarean section. Br J Anaesth 1992;69:647–52.
Kindler CH, Seeberger MD, Staender SE. Epidural abscess complicating epidural anesthesia and analgesia. Acta Anaesthesiol Scand 1998;42:614–20.
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Verdú, A., García-Granero, E., García-Fuster, M.J. et al. Lumbar osteomyelitis and epidural abscess complicating recurrent pilonidal cyst. Dis Colon Rectum 43, 1015–1017 (2000). https://doi.org/10.1007/BF02237370
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DOI: https://doi.org/10.1007/BF02237370