© 2001 the Emergency Medicine Journal
Emergency casebook
Epidural abscess misdiagnosed as cholecystitis
Chase Farm Hospital NHS Trust, London
Correspondence to:
Correspondence to: Mr Lam, 4 Middlefield, St John's Wood, London NW8 6NE, UK (mrflam@hotmail.com)
Ultrasound showed multiple gall stones with no evidence of biliary obstruction. A preliminary diagnosis of acute cholecystitis was made, and he was treated with intravenous antibiotics.
On the following day, he developed sudden onset flaccid paralysis of his right lower limb with acute urinary retention. Rectal examination revealed loss of contraction of the anal sphincter.
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