title: Complex sacral abscess 8 years after abdominal sacral colpopexy.
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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Although minor complications commonly occur after sacral colpopexy using abdominal mesh, serious and rare postoperative infectious complications may occur years postoperatively.
authors.affiliation: From Hartford Hospital/University of Connecticut Health Center, Division of Urogynecology, Department of Obstetrics and Gynecology, Hartford, Connecticut; and North Shore Long Island Jewish Health System, Division of Female Pelvic Medicine & Reconstructive Surgery, Department of Obstetrics and Gynecology, Great Neck, New York.
authors.forename: Sarah A
authors.initials: SA
authors.lastname: Collins
authors.forename: Paul K
authors.initials: PK
authors.lastname: Tulikangas
authors.forename: Christine A
authors.initials: CA
authors.lastname: LaSala
authors.forename: Lawrence R
authors.initials: LR
authors.lastname: Lind
mesh_terms: D000038:Abscess / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D000368:Aged; D002908:Chronic Disease; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D017116:Low Back Pain / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D010019:Osteomyelitis / Q000188:drug therapy / Q000601:surgery; D011183:Postoperative Complications / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D012447:Sacrum / Q000382:microbiology*; D013526:Surgical Mesh / Q000009:adverse effects / Q000382:microbiology; D013927:Thrombosis / Q000175:diagnosis; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery; D014682:Vena Cava, Inferior