Complex sacral abscess 8 years after abdominal sacral colpopexy

Sarah A. Collins*, Paul K. Tulikangas, Christine A. LaSala, Lawrence R. Lind

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

BACKGROUND: Sacral colpopexy is an effective, durable repair for women with apical vaginal or uterovaginal prolapse. There are few reports of serious complications diagnosed in the remote postoperative period. CASE: A 74-year-old woman presented 8 years after undergoing posthysterectomy abdominal sacral colpopexy using polypropylene mesh. Posterior vaginal mesh erosion had been diagnosed several months before presentation. She suffered severe infectious complications including an infected thrombus in the inferior vena cava, sacral osteomyelitis, and a complex abscess with presacral and epidural components. Surgical exploration revealed an abscess cavity surrounding the mesh. CONCLUSION: Although minor complications commonly occur after sacral colpopexy using abdominal mesh, serious and rare postoperative infectious complications may occur years postoperatively.

Original languageEnglish (US)
Pages (from-to)451-454
Number of pages4
JournalObstetrics and Gynecology
Volume118
Issue number2 PART 2
DOIs
StatePublished - Aug 1 2011

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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