Artikel
Abscess around the sciatic nerve following a periphery regional anaesthesia
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Autoren
Veröffentlicht: | 13. Juni 2005 |
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Gliederung
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Introduction
We report on case of an abscess around the sciatic nerve with staphylococcus aureus in and ventral of the gluteus maximus muscle following a catheter regional anaesthesia in a previously healthy 65-year-old male. The indication for the regional anesthesia was pain therapy after implantation of a hemiarthroplastic due to medial gonarthritis.
Case report
On postoperative day 9 the patient experienced a painful swelling at the puncture mark, peripheral neurological symptomatology, fever and increasing inflammatory parameters. Magnet resonance imaging revealed an abscess around the sciatic nerve. Debridement and drainage of the abscess where carried out immediately after confirmation and diagnosis. The patient was discharged from hospital on postoperative 13 without any neurological sequeal.
Discussion
Most important fort he outcome of the intervention, if possible without neurological sequeal fort he patient, is a prompt and reliable diagnosis covering the suspected diagnosis by means of visualizing technique as the magnetic resonance imaging and immediate surgical intervention. A suspected abscess at the sciatic nerve with neurological symptoms calls for quick and adequate action. The depend exclusively on antibiotic therapy or to defer surgery dimishes noticeably the possibility of a restitutio ad integrum.