Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 1997 Oct;90(4 Pt 2):689-91.
doi: 10.1016/s0029-7844(97)00306-2.

Sacral osteomyelitis: an unusual complication of abdominal sacral colpopexy

A C Weidner  1 , G W Cundiff, R L Harris, W A Addison
Affiliations
Case Reports

Sacral osteomyelitis: an unusual complication of abdominal sacral colpopexy

A C Weidner et al. Obstet Gynecol. 1997 Oct.

Abstract

Background: Abdominal sacral colpopexy using permanent mesh is an established technique for repair of vaginal vault prolapse. Infection is not a frequent complication. We report two cases of lumbosacral osteomyelitis treated with intravenous antibiotics without mesh removal.

Cases: The first patient had known advanced degenerative arthritis. Unremitting severe low back pain 5 years after abdominal sacral colpopexy prompted magnetic resonance imaging (MRI), revealing osteomyelitis and diskitis. The second patient developed symptoms 2 months postoperatively, and MRI indicated osteomyelitis with epidural abscess. Both patients received intravenous antibiotics, and neither required surgical debridement or mesh removal.

Conclusion: Osteomyelitis can present remote from the operation and can be difficult to diagnose. Protracted parenteral antibiotic therapy can be definitive treatment without mesh removal.

PubMed Disclaimer

Publication types