Spondylodiscitis with Epidural and Psoas Muscle Abscesses as Complications After Transrectal Ultrasound-guided Prostate Biopsy: Report of a Rare Case
  • Chiao-Ching Li
    Department of Surgery, Kaohsiung Armed Forces General Hospital, Kaohsiung Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei
  • Chiao-Zhu Li
    Department of Surgery, Kaohsiung Armed Forces General Hospital, Kaohsiung Department of Neurological Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei
  • Sheng-Tang Wu
    Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei
  • Tai-Lung Cha
    Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei
  • Shou-Hung Tang
    Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei

Abstract

A 71-year-old man presented with spondylodiscitis with epidural and psoas muscle abscesses following transrectal ultrasound (TRUS)-guided prostate biopsy. These rare complications were detected by computed tomography of the abdomen and magnetic resonance imaging of the lumbar spine. The patient was successfully treated with antibiotics and underwent neurosurgery. Awareness of presentations such as backache and weakness of the lower limbs after prostate biopsy is important as these symptoms are usually mistaken for bone or muscle problems and often not recognized as being related to infection.

VIEW THE ENTIRE ARTICLE

References

  • Dobson G, Cowie CJ, Holliman D. Epidural abscess with associated spondylodiscitis following prostatic biopsy. Ann R Coll Surg Engl 2015;97:e81–e82.
  • Nathoo N, Caris EC, Wiener JA, Mendel E. History of the vertebral venous plexus and the significant contributions of Breschet and Batson. Neurosurgery 2011;69:1007–1014..
  • Shields D, Robinson P, Crowley TP. Iliopsoas abscess—A review and update on the literature. Int J Surg 2012;10:466–469.
  • De Nunzio C, Lombardo R, Presicce F, Bellangino M, Finazzi Agro E, Gambrosier MB, et al. Transrectal-ultrasound prostatic biopsy preparation: rectal enema vs. mechanical bowel preparation. Cent European J Urol 2015;68:223–228.
  • Rudzinski JK, Kawakami J. Incidence of infectious complications following transrectal ultrasound-guided prostate biopsy in Calgary, Alberta, Canada: A retrospective population-based analysis. Can Urol Assoc J 2014;8:E301–E305.
  • Views: 1347
    HTML downloads: 228
    PDF downloads: 469
    Figure 1 downloads: 0
    Figure 2 downloads: 0
    Figure 3 downloads: 0
    Conflicts of interest downloads: 0
    Copyright autherization form downloads: 0


    Published: 2017-10-30
    Issue: Vol. 4 No. 8 (view)


    How to cite:
    1.
    Li C-C, Li C-Z, Wu S-T, Cha T-L, Tang S-H. Spondylodiscitis with Epidural and Psoas Muscle Abscesses as Complications After Transrectal Ultrasound-guided Prostate Biopsy: Report of a Rare Case. EJCRIM 2017;4 doi:10.12890/2017_000694.