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(A) Magnetic resonance imaging (MRI) on the day of admission, with no signs of infection visible. (B) Lumbar MRI performed only 6 days later, showing spondylodiscitis at L5/S1 and an epidural abscess extending to L3.
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Spondylodiscitis at L4/5 and L5/S1 and an epidural abscess extending from L3 to S1 were diagnosed (Fig. 1).
Colonoscopic views of the synthetic mesh inside the rectal lumen.
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A colonoscopy showed a rectosacral fistula with a synthetic mesh inside the rectal lumen and a transmural fistula, explaining the direct bacteria inoculation and therefore the uncontrollable spondylodiscitis (Fig. 2).