骶骨结肠切除术后的脊椎盘炎:早诊断早治疗。

IF 1.1 Q4 ONCOLOGY
International journal of clinical and experimental pathology Pub Date : 2024-03-15 eCollection Date: 2024-01-01 DOI:10.62347/RERC7901
Andrea Tinelli, Murat Yassa, Giuseppe Marzo, Daniela Romualdi, Matteo Frigerio, Alessio Melcarne, Giovanni Scambia, Giovanni Pecorella, Andrea Morciano
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引用次数: 0

摘要

因盆腔器官脱垂(POP)而进行骶骨结节成形术后出现的脊柱盘炎是一种罕见的并发症,后果严重。作者对 2000 年至 2022 年的文献进行了检索,撰写了一篇叙述性文献综述。脊柱盘炎是常规手术治疗中一种不常见但危险的副作用,需要及时发现并治疗,以防止临床后果恶化。骶骨突出部解剖不理想和/或手术部位感染与脊柱盘炎有关。当怀疑患有脊柱盘炎时,应采用先进的影像学方法,在治疗失败后不应再拖延手术切除。作者展示了一个病例视频,一名68岁的女性在手术后7周报告了严重的下背部疼痛,在该病例中,骶椎盘炎被确诊并接受了腹腔镜治疗。在该病例中,由于患者持续下背疼痛,且抗生素治疗后脊柱盘炎的放射学症状未完全缓解,因此进行了腹腔镜粘连和网片切除术。术后两周,患者的放射学检查结果和症状完全消失。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Spondylodiscitis after sacral colpopexy: diagnose early to treat earlier.

Spondylodiscitis following sacral colpopexy for Pelvic Organ Prolapse (POP) represents a rare complication with severe consequences. Authors performed a literature search, from 2000 to 2022, to set a narrative review of literature. Spondylodiscitis is an uncommon but dangerous side effect of a routine surgical treatment that needs to be identified and treated right away to prevent worsening clinical consequences. Suboptimal dissection of the sacral promontory and/or site infection are associated with spondylodiscitis. When spondylodiscitis is suspected, advanced imaging methods should be used, and surgical excision shouldn't be put off after a failed course of treatment. Authors presented a case-video of a 68-year-old woman who reported severe lower back pain 7 weeks after surgery, in which sacral spondylodiscitis was diagnosed and laparoscopically treated. In this case, a laparoscopic tack and mesh removal from promontory was carried out following the patient's continued lower back pain and the antibiotic therapy's incomplete radiological remission of spondylodiscitis. The patient's radiological findings and symptoms completely resolved two weeks following the procedure.

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来源期刊
自引率
0.00%
发文量
42
审稿时长
1 months
期刊介绍: The International Journal of Clinical and Experimental Pathology (IJCEP, ISSN 1936-2625) is a peer reviewed, open access online journal. It was founded in 2008 by an international group of academic pathologists and scientists who are devoted to the scientific exploration of human disease and the rapid dissemination of original data. Unlike most other open access online journals, IJCEP will keep all the traditional features of paper print that we are all familiar with, such as continuous volume and issue numbers, as well as continuous page numbers to keep our warm feelings towards an academic journal. Unlike most other open access online journals, IJCEP will keep all the traditional features of paper print that we are all familiar with, such as continuous volume and issue numbers, as well as continuous page numbers to keep our warm feelings towards an academic journal.
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