A female presenting with prolonged fever, weakness, and pain in the bilateral pelvic region: a case report

Cases Journal - Tập 2 - Trang 1-4 - 2009
Tufan Tasci1, Beyazit Zencirci2
1Department of Surgery, Mostas Private Health Hospital, Kahramanmaras, Turkey
2Department of Anesthesiology and Reanimation, MOSTAS Private Health Hospital, Kahramanmaras, Turkey

Tóm tắt

Psoas abscess, a collection of pus in the iliopsoas compartment that has traditionally been classified as primary and secondary according to its origin. 48-year-old Turkish female presented to the department with fever, weakness and pain in the bilateral pelvic region. In contrast abdominal magnetic resonance, a collection compatible with the hyperintense abscess was observed in the right and left ilipsoas muscles. It was decided to simultaneously drain both abscesses of the case who had been using oral and intravenous broad-spectrum antibiotics for two months. No factors were detected in the microbiological reviews made on the abscess fluid of the operated case. The case was also examined in terms of tuberculosis and Crohn's disease and no findings were encountered to rise suspicions of such diseases. An abscess of the psoas muscle was a rare entity. However, with the increased use of computed tomography scans to evaluate patients with unknown foci of sepsis, psoas abscesses now are diagnosed and reported more frequently. What should be done after diagnosis are, if possible, defining the infection factor, selecting the appropriate antibiotics and draining the abscess openly or percutaneously.

Tài liệu tham khảo

Riyad MNYM, Sallam MA, Nur A: Pyogenic Psoas Abscess: Discussion of its Epidemiology, Etiology, Bacteriology, Diagnosis, Treatment and Prognosis - Case Report. KMJ. 2003, 35: 44-47. Santaella RO, Fishman EK, Lipsett PA: Primary vs secondary iliopsoas abscess. Preventation, microbiology, and treatment. Arch Surg. 1995, 130: 1309-1313. Procaccino JA, Lavery IC, Fazio VW, Oakley JR: Psoas abscess: difficulties encountered. Dis Colon Rectum. 1991, 34: 784-789. 10.1007/BF02051071. Mallick IH, Thoufeeq MH, Rajendran TP: Iliopsoas abscesses. Postgrad Med J. 2004, 80: 459-462. 10.1136/pgmj.2003.017665. Yago Y, Yukihiro M, Kuroki H, Katsuragawa Y, Kubota K: Cold tuberculous abscess identified by FDG PET. Ann Nucl Med. 2005, 19: 515-518. 10.1007/BF02985581. Lebouthillier G, Lette J, Morais J, Aubin B, Picard M: Ga-67 imaging in primary and secondary psoas abscess. Clin Nucl Med. 1993, 18: 637-641. 10.1097/00003072-199308000-00001. Liao YS, Shih HN, Hsu RW: Salmonella psoas abscess: a case report. Chang Gung Med J. 1995, 18: 170-175. Afaq A, Jain BK, Dargan P, Bhattacharya SK, Rauniyar RK, Kukreti R: Surgical treatment of primary iliopsoas abscess - safe and cost effective. Trop Doct. 2002, 32: 133-135. Hamano S, Kiyoshima K, Nakatsu H, Murakami S, Igarashi T, Ito H: Pyogenic psoas abscess: difficulty in early diagnosis. Urol Int. 2003, 71: 178-183. 10.1159/000071843. Yacoub WN, Sohn HJ, Chan S, Petrosyan M, Vermaire HM, Kelso RL, Towfigh S, Mason RJ: Psoas abscess rarely requires surgical intervention. Am J Surg. 2008, 196: 223-227. 10.1016/j.amjsurg.2007.07.032.