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Case Reports
. 2007 Dec;16 Suppl 3(Suppl 3):322-5.
doi: 10.1007/s00586-006-0272-z. Epub 2006 Dec 6.

Easy drainage of presacral abscess

Vishal Nigam  1 , H S Chhabra
Affiliations
Case Reports

Easy drainage of presacral abscess

Vishal Nigam et al. Eur Spine J. 2007 Dec.

Abstract

Presacral region is one of the difficult regions for drainage of abscess as the approaches described for this carry a lot of morbidities. Transpedicular approach is described for the drainage of presacral abscess. Further, tuberculous abscess as a cause of cauda equina syndrome is reported. Patient had complete neurological recovery within weeks of drainage of abscess. Transpedicular drainage of presacral abscess is a safer option for recently developed neurological deficit. Late presentation may need anterior approach, which is associated with increased morbidity.

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Figures

Fig. 1
Fig. 1
Sagittal section showing large presacral abscess
Fig. 2
Fig. 2
Transverse section showing large collection of pus
Fig. 3
Fig. 3
Guide wire insertion under image intensifier
Fig. 4
Fig. 4
Dye seen filling the empty abscess cavity
See this image and copyright information in PMC

References

    1. Arya S, Crow WN, Hadjipaviou AG, Nauta HJ, Borowski AM, Vierra LA, Walser E. Percutaneous transpedicular management of discitis. J Vasc Interv Radiol. 1996;7(6):921–927. doi: 10.1016/S1051-0443(96)70871-0. - DOI - PubMed
    1. Bianchi C, Ballard JL, Abou-Zamzam AM, Teruya TH, Abu-Assal ML. Anterior retroperitoneal lumbosacral spine exposure: operative technique and results. Ann Vasc Surg. 2003;17(2):137–142. doi: 10.1007/s10016-001-0396-x. - DOI - PubMed
    1. Buyukbebeci O, Karkurum G, Gulec A, Erbagci A. Tuberculous osteomyelitis of the lumbosacral region: a spinal epidural abscess with presacral extension. Arch Orthop Trauma Surg. 2004;124(5):246–248. doi: 10.1007/s00402-004-0660-y. - DOI - PubMed
    1. Gennari L, Azzarelli A, Quagliuolo V. A posterior approach for the excision of sacral chordoma. J Bone Joint Surg Br. 1987;69(4):565–568. - PubMed
    1. Hadjipavlou AG, Katonis PK, Gaitanis IN, Muffoletto AJ, Tzermiadianos MN, Crow W. Percutaneous transpedicular discectomy and drainage in pyogenic spondylodiscitis. Eur Spine J. 2004;13(8):707–713. doi: 10.1007/s00586-004-0699-z. - DOI - PMC - PubMed

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