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BMJ Case Rep ; 20182018 Feb 23.
Article in English | MEDLINE | ID: mdl-29477995

ABSTRACT

A 70-year-old man was admitted to our hospital for a penile circumcision due to phimosis using continuous dose spinal anaesthesia. On postoperative day 10 he came to the emergency department with a superficial abscess localised at the injection site of the spinal catheter. He was treated with intravenous antibiotics for 10 days, and the superficial abscess was incised and drained. Ten days later, the patient was readmitted to the emergency department with complaints of back pain and fever. A repeat MRI scan of his lumbar sacral area was done and showed epidural abscesses without any compression of the medulla or the myelum. The patient did not have any signs of spinal cord or nerve root compression at that time. He was treated with intravenous antibiotics with resolution of symptoms.


Subject(s)
Anesthesia, Spinal/adverse effects , Circumcision, Male , Epidural Abscess/etiology , Phimosis/surgery , Postoperative Complications/etiology , Aged , Anti-Bacterial Agents/therapeutic use , Drainage , Epidural Abscess/diagnostic imaging , Epidural Abscess/therapy , Humans , Magnetic Resonance Imaging , Male , Postoperative Complications/diagnostic imaging , Postoperative Complications/therapy
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