Long Segment Spinal Epidural Abscess With Acute Intestinal Obstruction: A Case Report and Literature Review

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

Clinical Case Reports Pub Date : 2025-09-28 DOI:10.1002/ccr3.71058

Shitashma Bohara, Susmin Karki, Bikas Thapa, Niharika Khanal, Bikal Ghimire, Sandeep Bohara, Amit Pradhanang, Mohan R. Sharma

引用次数: 0

Abstract

Spinal epidural abscess (SEA) is a life-threatening condition that often presents with non-specific symptoms, resulting in a delay in diagnosis and treatment. Rarely, it can co-exist with acute abdominal conditions, which can further complicate the diagnosis and management. Delay in diagnosis and the presence of comorbidities may result in unfavorable outcomes. We present a case of a 55-year-old male diagnosed with a spinal epidural abscess presenting as low back pain, fever, and paraparesis. This case report aims to investigate the clinical presentation, diagnostic challenges, and treatment approaches for spinal epidural abscesses in low and middle-income countries.

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脊髓长节段硬膜外脓肿合并急性肠梗阻1例并文献复习。

脊髓硬膜外脓肿（SEA）是一种危及生命的疾病，通常表现为非特异性症状，导致诊断和治疗延误。罕见的是，它可以与急性腹部疾病共存，这可以进一步复杂化诊断和管理。诊断的延迟和合并症的存在可能导致不利的结果。我们提出一个病例55岁的男性诊断为脊髓硬膜外脓肿表现为腰痛，发烧，和麻痹。本病例报告旨在调查中低收入国家脊髓硬膜外脓肿的临床表现、诊断挑战和治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Case Reports MEDICINE, GENERAL & INTERNAL-

自引率

14.30%

发文量

1268

审稿时长

13 weeks

期刊介绍： Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).