Sosa CM, Rodríguez ARA, Candebat RR, Mauri PO, Rajadel AR, Candebat CRR

Language: Spanish
References: 7
Page: 175-181
PDF size: 194.31 Kb.

ABSTRACT

Introduction: acute pancreatitis is an inflammatory disease commonly paving the way for infectious processes.
Objective: discuss vertebral osteomyelitis as an infrequent bone complication of pancreatitis.
Description: a clinical case is presented of a male 55-year-old patient with a history of gallstones, obese and an occasional drinker, who developed type 1 diabetes mellitus and a spinal abscess with a paravertebral fistula after suffering from acute necrotizing pancreatitis. The presence of secretion and lumbar pain symptoms, as well as the results of humoral and imaging studies, confirmed the diagnosis of osteomyelitis at T10. Treatment consisted of drainage by costotransversectomy, antibiotic therapy and a corset. The patient was cured without any neurological limitation.
Conclusions: timely drainage aimed at the area of purulent collection, broad spectrum antibiotic therapy and external immobilization ensure recovery and prevent bone complications in this infrequent condition.

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