J Korean Med Sci.  2003 Feb;18(1):116-119. 10.3346/jkms.2003.18.1.116.

Cervical Epidural Abscess Secondary to Aorto-Duodenal Fistula: A Case Report

Affiliations
  • 1Department of Neurosurgery, Hanyang University Medical Center, Seoul, Korea. hjyi8499@hanyang.ac.kr
  • 2Department of General Surgery and Thoracic Surgery, Hanyang University Medical Center, Seoul, Korea.

Abstract

Although cervical epidural abscess is rare, it should be strongly suspected in any patient with unexplainable neck pain and fever, especially when the patient has a predisposing factor for this infectious process. The authors report a case of cervical epidural abscess in a 39-yr-old man with an aorto-duodenal fistula, which complicated the interposition of artificial graft for abdominal aortic aneurysm rupture, which had undertaken 40 months before. Timely detection and intervention rendered him a full neurological recovery. This extremely rare case is presented with a literature review.

Keyword

Epidural Abscess; Causality; Fistula; Aorto-Duodenal; Transplants; Aortic Aneurysm; Abdominal

MeSH Terms

Adult
Aneurysm, Dissecting/complications
Aneurysm, Dissecting/surgery
Aortic Aneurysm, Abdominal/complications
Aortic Aneurysm, Abdominal/surgery
Aortic Diseases/complications*
Aortic Rupture/complications
Aortic Rupture/surgery
Blood Vessel Prosthesis Implantation
Cervical Vertebrae*
Duodenal Diseases/complications*
Duodenal Ulcer/complications
Enterococcus
Epidural Abscess/etiology*
Epidural Abscess/microbiology
Epidural Abscess/surgery
Fistula/complications*
Gram-Positive Bacterial Infections/complications
Human
Male
Peptic Ulcer Perforation/complications
Salmonella Infections/complications
Staphylococcal Infections/complications
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