Cic edizioni internazionali
Il Giornale di Chirurgia

Epidural abscess imitating recurrent pilonidal sinus: a case report

Clinical practice, 135 - 138
doi: 10.11138/gchir/2017.38.3.135
Tag this article
Abstract
Enhanced HTML Full text PDF
Pilonidal sinus or pilonidal cyst is a common benign disease, affecting mostly young working men. We present the first case of an epidural abscess imitating pilonidal sinus. A 33-year old male, suffering from previously undiagnosed and untreated diabetes mellitus (DM), presented to our emergency department (ER), one month after open surgical treatment of pilonidal sinus, due to weakness and fever. After re-operation of the pilonidal cyst and due to post-operative pus production and continuation of fever a computer tomogr aphy (CT )scan was performed revealing an epidural abscess extending from the thoracic vertebrae 12 (T-12) to the sacrococcygeal area. At that point he underwent
new surgery for drainage of the epidural abscess. The patient received intravenous antimicrobial treatment and was discharged on the 23rd postoperative day without signs or symptoms of infection. At follow up for a whole year no signs of recurrence have been observed.

Vol. XXXIX (No. 3) 2018 May - June

  1. Comparison of outcomes following intersphincteric resection vs low anterior resection for low rectal cancer: a systematic review
    Ursi P., Santoro A., Gemini A., Arezzo A., Pironi D., Renzi C., Cirocchi R., Di Matteo F.M., Maturo A., D'Andrea V., Sagar J.
    doi: 10.11138/gchir/2017.39.3.123
  2. Enterocutaneous fistula treatment: case report and review of the literature
    Assenza M., Rossi D., De Gruttola I., Ballanti C.
    doi: 10.11138/gchir/2017.39.3.143
  3. 3D MRI segmentation and 3D circumferential resection margin evaluation for a standard rectal cancer assessment
    Lorenzon L., Bini F., Quatrale M., Biondi A., Persiani R., Di Pietropaolo M., Landolfi F., Iannicelli E., Marinozzi F., Balducci G., D'Ugo D.
    doi: 10.11138/gchir/2017.39.3.152
  4. Thyroid neoplasms: surgical and cyto-histopathological connections on a six year cases study
    Fontana T., Izzo M., Venturelli P., Lentini V.L., Falco N., Gulotta L., Florena A.M., Cocorullo G.
    doi: 10.11138/gchir/2017.39.3.158
  5. P-POSSUM score: a prognostic instrument for postoperative complications in Crohn’s disease
    Falco N., Fontana T., Scrivano D., Tutino R., Licari L., Raspanti C., Melfa G.I., Cocorullo G.
    doi: 10.11138/gchir/2017.39.3.166
  6. Papillary thyroid microcarcinoma in super obese patient
    Ruggiero R., Bosco A., Pirozzi R., Bondanese M.C., Gualtieri G., Docimo L.
    doi: 10.11138/gchir/2017.39.3.173
  7. Combined Littre and Richter’s femoral hernia: an extremely rare intra-operative finding
    Ioannidis A., Karanikas I., Koutserimpas C., Velimezis G.
    doi: 10.11138/gchir/2017.39.3.177
  8. Concomitant small cell carcinoma and adenocarcinoma of the gallbladder: a case report
    Tornambè A., Aiello P.S.L., Tornambè G.
    doi: 10.11138/gchir/2017.39.3.181
  9. Small bowel intussusception due to malignant melanoma: primary lesion or metastases? A case report
    De Monti M., Pacchiarini L., Cestaro G., Peloni G., Fasoli F.
    doi: 10.11138/gchir/2017.39.3.184
  10. Three-trocar laparoscopic cholecystectomy under spinal anesthesia in a patient with asthma
    Tatulli F., Delcuratolo A., Caraglia A., Notarnicola A., Carbone F.P.N., Caputi A.
    doi: 10.11138/gchir/2017.39.3.188
Last Viewed articles: la lista degli ultimi x visitati.
  1. Epidural abscess imitating recurrent pilonidal sinus: a case report
    Koutserimpas C., Nikitakis N., Skarpas A., Lada M., Papachristou E., Velimezis G.
    doi: 10.11138/gchir/2017.38.3.135
credits