• J Emerg Med · Jan 2004

    Review Case Reports

    Spinal epidural abscess presenting as intra-abdominal pathology: a case report and literature review.

    • Andrew A Bremer and Rabih O Darouiche.
    • Department of Internal Medicine and Pediatrics, Baylor College of Medicine, Houston, TX 77030, USA.
    • J Emerg Med. 2004 Jan 1; 26 (1): 51-6.

    AbstractSpinal epidural abscess is a rare infectious disease. However, if left unrecognized and untreated, the clinical outcome of spinal epidural abscess can be devastating. Correctly diagnosing a spinal epidural abscess in a timely fashion is often difficult, particularly if the clinician does not actively consider the diagnosis. The most common presenting symptoms of spinal epidural abscess include backache, radicular pain, weakness, and sensory deficits. However, early in its course, spinal epidural abscess can also present with vague and nondescript manifestations. In this report, we describe a case of spinal epidural abscess presenting as abdominal pain, and review the literature describing other cases of spinal epidural abscess presenting as intra-abdominal pathology.

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