Case – Recurrent abscess and vaginal-thigh fistula from a transobturator mesh tape after COVID-19 vaccination
Bibliographic record
Abstract
Case -Recurrent abscess and vaginal-thigh fistula from a transobturator mesh tape after COVID-19 vaccination CASE REPORTWe present the case of a 55-year-old female who had an uncomplicated transobturator tape (TOT) procedure in 2006 by a senior general gynecologist for stress urinary incontinence (SUI).Her medical history included a myocardial infarction secondary to ventricular fibrillation, chronic obstructive pulmonary disease, dyslipidemia, and hypertension.Additional surgical history included a recent right tibial open reduction and internal fixation from a fall.She had not been sexually active for several years and denied any intravenous drug use.She had an allergy to sulfa drugs.Four days after her second COVID-19 mRNA vaccination, the patient presented to the community emergency department with a four-day history of pain to the right upper thigh, foul-smelling vaginal discharge, and new vaginal bleeding.She also reported a fall and a bruise to the surrounding right upper thigh one month prior, but no penetrating injury.General surgery was consulted, and examination was notable for erythema and tenderness to the right medial upper thigh, with no palpable mass or fluctuance, and ongoing foul vaginal discharge.She remained afebrile and vitally stable, and motor and sensory function remained intact.Computed tomography (CT) revealed a suspected abscess with gas along the right adductor magnus muscle measuring 7 x 12 cm, and not communicating with the pelvis (Figure 1) At this time, her abscess was presumed to have been secondary to an infected hematoma from her fall.The suspected abscess was not amenable to drainage by interventional radiology, and the patient was started on antibiotics.Orthopedics was consulted and she was brought to the operating room for irrigation
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.007 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.004 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.004 | 0.002 |
| Scholarly communication | 0.003 | 0.003 |
| Open science | 0.002 | 0.002 |
| Research integrity | 0.013 | 0.007 |
| Insufficient payload (model declined to judge) | 0.006 | 0.002 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".