Spinal epidural abscess: an unusual complication of a duodenal ulcer.
A 50-year-old man had several months of progressively worse low-back pain associated with constitutional symptoms and a history of retroperitoneal tumor and bleeding duodenal ulcer. Initial evaluation suggested a lumbar spine tumor, but myelography confirmed the presence of an epidural abscess. Further evaluation revealed a duodeno-spinal fistula at the site of the previous duodenal ulcer, which proved to be the cause of the abscess.
Henderson
J M
JM
Department of Medicine, University of Kentucky, A.B. Chandler Medical Center, Lexington 40536.
Coonrod
J D
JD
D000038:Abscess / Q000000981:diagnostic imaging / Q000209:etiology* / Q000382:microbiology; D004378:Duodenal Diseases / Q000150:complications; D004381:Duodenal Ulcer / Q000150:complications*; D004824:Epidural Space; D005402:Fistula / Q000150:complications; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013122:Spinal Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000382:microbiology