PIRIFORMIS PYOMYOSITIS MIMICKING EPIDURAL ABSCESS IN A PARTURIENT

被引：20

作者：

KINAHAN, AM

DOUGLAS, MJ

机构：

[1] Division of Obstetric Anaesthesia, Faculty of Medicine, University of British Columbia, British Columbia's Women's Hospital, Vancouver, V6H 3V5, British Columbia

[2] Department of Anaesthesia, McMaster University, Hamilton, Ontario

[3] Department of Anaesthesia, Foothills Hospital and University of Calgary, Calgary, AB

来源：

CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE | 1995年 / 42卷 / 03期

关键词：

ANESTHESIA; OBSTETRIC; ANESTHETIC TECHNIQUES; EPIDURAL; COMPLICATIONS; EPIDURAL ABSCESS; PYOMYOSITIS;

D O I：

10.1007/BF03010686

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

A case is presented of a patient who developed fever, leukocytosis severe back pain, local overlying spinal tenderness, and left leg weakness on the fifth day postpartum. The patient had epidural anaesthesia for ten hours duration, before and during a forceps delivery. Computerized axial tomography (CT) and magnetic resonance imaging (MRI) of the pelvis and lumbar spine revealed swelling of the left iliacus and piriformis muscles, but no epidural abscess. A diagnosis of isolated piriformis pyomyositis with secondary sciatic nerve irritation was made, and the patient was treated with intravenous antibiotics, nonsteroidal anti-inflammatory agents, and morphine analgesia. She made a full, uneventful recovery within 50 days, and was discharged requiring no medications.

引用

页码：240 / 245

页数：6

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