Spinal epidural abscess--a rare complication after epidural analgesia for labour and delivery

Br J Anaesth. 2004 Jun;92(6):896-8. doi: 10.1093/bja/aeh152. Epub 2004 Apr 2.

Abstract

We report a case of spinal epidural abscess formation after short-term epidural catheter placement for analgesia during labour and delivery. The patient was previously healthy and did not have any predisposing factors. Increasing back pain was the only complaint. A contrast-enhanced CT study on day 5 was inconclusive. Magnetic resonance imaging was performed and showed a large triangular-shaped abscess with adjacent inflammation of the paravertebral muscles. One day later, the patient developed a sensory deficit in the left lower limb. The neurological deficit completely resolved after surgical decompression and debridement, which was followed by antibiotic treatment.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Analgesia, Epidural / adverse effects*
  • Analgesia, Obstetrical / adverse effects*
  • Back Pain / etiology
  • Epidural Abscess / diagnosis
  • Epidural Abscess / etiology*
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Pregnancy