Journal articles: 'Iliopsoas abscess'

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Li, Yu, Hiraku Funakoshi, Takashi Shiga, and Shigeki Fujitani. "Iliopsoas abscess." Cleveland Clinic Journal of Medicine 84, no. 11 (2017): 833–34. http://dx.doi.org/10.3949/ccjm.84a.17002.

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Dietrich, Agustin, Hernán Vaccarezza, and Carlos A. Vaccaro. "Iliopsoas Abscess." Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 23, no. 1 (2013): 45–48. http://dx.doi.org/10.1097/sle.0b013e31826e0ac9.

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Pereira, Nigel, Elise C. Bardawil, Meghan A. Patel, Ryan K. Brannon, Michael L. Podolsky, and Paul Nyirjesy. "Iliopsoas Abscess." Journal of Lower Genital Tract Disease 18, no. 2 (2014): E34—E37. http://dx.doi.org/10.1097/lgt.0b013e318296c1ac.

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Shumeyko, A. A., I. M. Batyrshin, A. E. Demko, D. S. Sklizkov, J. S. Ostroumova, and D. V. Fomin. "Iliopsoas abscess: etiology, pathogenesis, methods of diagnosis and treatment (literature review)." Pacific Medical Journal, no. 1 (May 18, 2024): 17–23. http://dx.doi.org/10.34215/1609-1175-2024-1-17-23.

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Iliopsoas abscess comprises a frequently missed and late-diagnosed pathology that can be encountered by specialists of various profiles. Depending on the etiology and pathogenesis, iliopsoas abscess can be primary, if the infectious process initially develops in the iliopsoas muscle, or secondary, if the infection spreads from another inflammatory focus. The disease often has non-specific clinical manifestations and, in secondary abscesses, may be masked by symptoms of the underlying disease. The most informative diagnostic methods include CT scanning and magnetic resonance imaging. In the case of early detection and adequate treatment, the prognosis is generally good. Untimely treatment can lead to such serious complications as purulent leakage into neighboring areas, severe sepsis, septic shock, and persistent functional disorders. Without treatment, the mortality rate reaches 100%. To date, no uniform approaches to the management of patients with iliopsoas abscess has been developed.

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Grgur, Jelena, Djurdja Cvjetkovic-Nikoletic, Dragana Simic, Nikola Eic, Sonja Lukac, and Radoica Jokic. "Iliopsoas abscess in infants: A case report." Medical review 75, no. 3-4 (2022): 119–22. http://dx.doi.org/10.2298/mpns2204119g.

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Introduction. Iliopsoas abscess is a rare condition, which may be categorized as primary or secondary. Primary iliopsoas abscess is caused by lymphohematogenous spread of infectious agents from a distant site, unlike secondary iliopsoas abscess that is a result of direct spread of a nearby infectious or inflammatory process. The diagnosis and treatment of primary iliopsoas abscess are often prolonged, due to the rarity of the disease and the nonspecific signs and symptoms. Case Report. This study presents a case of a onemonth old infant with a left-sided iliopsoas abscess. The physical examination revealed a swelling with a pronounced vascular pattern in the area of the left groin. Laboratory findings showed leukocytosis and increased inflammatory markers. An abscess within the left hemiabdomen and inguinofemoral region was diagnosed by ultrasonography and computerized tomography. The main therapeutic approach included antibiotic therapy, as well as surgical drainage of the abscess. Staphylococcus aureus was isolated from a 100 ml sample of the drained abscess. The treatment outcome was good. Conclusion. Given the frequency of iliopsoas abscess in infants, which is far less common than other primary diseases, greater attention must be paid to symptoms and signs during clinical examination, along with the appropriate choice of diagnostic procedures. Timely diagnosis, as well as adequate treatment of iliopsoas muscle abscess, is imperative in order to prevent the development of complications, such as systemic inflammation and sepsis.

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Jamsari, Giuleta, Joseph Do Woong Choi, Benedict Kakala, Hillary Hu, and Gideon Sandler. "Conservative Treatment of an Unusual Presentation of Iliopsoas Phlegmon Related to Infected Intrauterine Contraceptive Device." Case Reports in Surgery 2024 (February 6, 2024): 1–4. http://dx.doi.org/10.1155/2024/9916070.

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Iliopsoas phlegmon/abscess is uncommon, and individuals often present with nonspecific symptoms. Diagnosis is often delayed and almost always requires advanced imaging techniques such as computed tomography or magnetic resonance imaging. We report a case of a 51-year-old woman who presented with right lower limb swelling and associated rash with imaging demonstrating iliopsoas abscess secondary to an infected intrauterine contraceptive device. This rare case highlights the nonspecific presentation of iliopsoas abscess and the need to consider unusual sources of infection such as an intrauterine contraceptive device in women presenting with iliopsoas phlegmon and abscess.

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Al-Sadhan, Nehal, Ottto Liebmann, and Kristin Dwyer. "Point-of-care Ultrasound Identification of Iliopsoas Abscess in Emergency Department: A Case Report." Clinical Practice and Cases in Emergency Medicine 4, no. 3 (2020): 404–6. http://dx.doi.org/10.5811/cpcem.2020.5.45255.

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Introduction: The iliopsoas muscle is a rare place for an abscess to collect. While these abscesses can have high mortality, they are often misdiagnosed. The use of point-of-care ultrasound (POCUS) can aid in earlier diagnosis. Case Report: A 45-year-old male presented to the emergency department (ED) with severe lower back pain. The pain radiated to both of his legs and was associated with fever, weight loss, and malaise. The differential diagnosis for this patient was broad. A POCUS was performed at the bedside and revealed bilateral iliopsoas abscesses. This finding was then confirmed by computed tomography. Conclusion: In this case report we will discuss how to identify an iliopsoas abscess using POCUS in ED patients, and the utility of POCUS to facilitate an expedited diagnosis.

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Sakurai, Mikio, Hiroki Nagasawa, Ikuto Takeuchi, and Youichi Yanagawa. "A Case of an 80-Year-Old Man with Empyema and Psoas Abscess." Case Reports in Emergency Medicine 2020 (October 24, 2020): 1–4. http://dx.doi.org/10.1155/2020/8895785.

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An 80-year-old man with flu symptoms collapsed at his house and had a backache worsened over time. His family called for an ambulance. On arrival, chest X-ray showed reduced permeability of the right lung field, and truncal computed tomography (CT) suggested right multilobular empyema and right iliopsoas abscess. A blood test showed an acute inflammatory response. The patient underwent right small thoracotomy for empyema and ultrasonic-guided drainage for the right iliopsoas abscess and started the administration of antibiotics. We started the administration of doripenem by intravenous drip and then deescalated to ampicillin based on the culture results. Streptococcus intermedius was cultured from all sites. Following these treatments for three months, his general condition improved. We herein report a unique case of complicated empyema and iliopsoas abscess in which a favorable outcome was obtained by an appropriate diagnosis and treatment. Reports of multiple abscesses have been increasing recently because of the growing geriatric population and aging-related complications. It is important to search the whole body to detect multiple abscesses in cases where an abscess is detected at a single site.

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Horiuchi, Atsushi, Kazuhiro Kameoka, Jun Kuwabara, et al. "Neonatal iliopsoas abscess." Pediatrics International 54, no. 5 (2012): 712–14. http://dx.doi.org/10.1111/j.1442-200x.2012.03593.x.

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Fuchita, Yuichiro, Hirokazu Toyoshima, Chiaki Ishiguro, and Hiroyuki Tanaka. "Successful treatment of a unique case of solitary primary iliopsoas abscess caused by Streptococcus dysgalactiae subspecies equisimilis: A case report." Medicine 103, no. 13 (2024): e37602. http://dx.doi.org/10.1097/md.0000000000037602.

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Rationale: Iliopsoas abscess, mainly caused by Staphylococcus aureus, occurs via the bloodstream or spread from adjacent infected organs. Although a few cases regarding primary iliopsoas abscess caused by Streptococcus dysgalactiae subspecies equisimilis (SDSE) with accompanying disseminated foci have been reported to date, there has been no case report on solitary primary iliopsoas abscess caused by SDSE. Patient concerns: An 85-year-old Japanese woman presented with worsening right hip pain and fever after an exercise. Hip computed tomography revealed a right iliopsoas abscess (iliac fossa abscess), and intravenous cefazolin was started as a treatment based on the creatinine clearance level on admission. Diagnoses: Blood cultures were positive for β-hemolytic Lancefield group G gram-positive cocci arranged in long chains, which were identified as SDSE by matrix-assisted laser desorption/ionization. No other disseminated foci were found upon performing whole computed tomography and transthoracic echocardiography. The patient was diagnosed with an SDSE solitary iliopsoas abscess. Interventions: The antimicrobial was appropriately switched to intravenous ampicillin on day 2, with the dosage adjusted to 2 g every 6 hours based on the preadmission creatinine clearance, followed by oral amoxicillin (1500 mg, daily). Outcomes: The abscess disappeared without drainage on day 39, and the patient remained disease-free without recurrence or sequelae during a 6-month follow-up period. Lessons: SDSE can cause a solitary primary iliopsoas abscess, which can be successfully treated with an appropriate dose of antimicrobials without draining the abscess.

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Ali, Hosameldeen Mostafa, and Hoda Mohamed Abdelaziz Shoshan. "Multifocal primary musculoskeletal tuberculosis in nonimmunocompromised patient from nonendemic area." BJR|case reports 6, no. 2 (2020): 20190077. http://dx.doi.org/10.1259/bjrcr.20190077.

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Iliopsoas primary tuberculous abscess is a rare clinical and imaging entity. Most reported imaging literature cases are secondary to tuberculous spondylodiscitis. Iliopsoas tuberculous inflammation and abscess constitutes a diagnostic challenge owing to its insidious onset and subtle non-specific symptoms. Here, in a case of right iliopsoas and thigh primary tuberculosis abscess complicated with right iliac bone osteomyelitis extended to the right hip joint. The conventional radiography, thigh and pelvic ultrasonography, MRI and CT examinations showed the whole right iliopsoas and thigh abscess compartments and right iliac bone osteomyelitis. No defined other pulmonary or abdominal tuberculous lesions. Percutaneous drainage of the thigh compartment under ultrasound guidance and microbiologic culture of the drained fluid elicited mycobacterium tuberculosis.

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Abdullatif, Victor A., Jacob Novack, Philip J. Shalhoub, Todd G. Campbell, and Joel E. Abbott. "A Rare Case of a Bladder Neck Abscess Masquerading as a Benign Mass." Case Reports in Urology 2022 (October 4, 2022): 1–4. http://dx.doi.org/10.1155/2022/9966553.

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Introduction. Bladder neck abscesses are rare urologic pathologies with very few cases published in modern literature. This report explores a case of a bladder neck mass incidentally found on computed tomography (CT) imaging in a patient with an iliopsoas abscess. Case Presentation. We present a case of a 60-year-old woman who was recently treated for sepsis secondary to an iliopsoas abscess in July of 2022. A CT scan revealed an indeterminate structure in the posterior inferior left paramedian bladder wall. During a cystoscopy with transurethral resection of the mass, an abscess was uncovered and evacuated. A postoperative Foley catheter was left in place, and the patient recovered without any complications. Conclusion. At the time of publication, the patient feels well and denies pain or lower urinary tract symptoms. Although bladder abscesses are exceptionally rare, incidental findings during cystoscopy may warrant further investigation in patients with comorbid abscesses.

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Hyo, Yukiyoshi, Tomoya Fujisaki, Rui Hyo, Hiroki Tanaka, and Tamotsu Harada. "Iliopsoas Abscess Possibly due toKlebsiella pneumoniaeInfection after Chemoradiotherapy for Hypopharyngeal Cancer." Case Reports in Otolaryngology 2016 (2016): 1–5. http://dx.doi.org/10.1155/2016/1343106.

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Iliopsoas abscess was once an uncommon condition but now occurs somewhat more frequently due to the increasing number of immunocompromised patients, such as those with diabetes. We encountered a case of iliopsoas abscess following chemoradiotherapy for hypopharyngeal cancer. A 60-year-old man was admitted for a sore throat and left neck swelling. Hypopharyngeal cancer was diagnosed, but the patient refused surgery. After two rounds of chemotherapy, febrile neutropenia developed and chest computed tomography (CT) revealed an iliopsoas abscess. The platelet count was low but recovered after administration of antibiotics and could not be explained by puncture of the abscess. CT-guided drainage eventually improved his symptoms. Even for disorders of the head and neck region, iliopsoas abscess should be suspected in immunocompromised patients who develop a fever. CT and magnetic resonance imaging should be performed at an early stage as it is important to determine whether surgical drainage is indicated.

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Langberg, Sam, and Shayan Azizi. "Atypical Cause of Sepsis from Bilateral Iliopsoas Abscesses Seeded from Self-mutilation: A Case Report." Clinical Practice and Cases in Emergency Medicine 4, no. 3 (2020): 432–35. http://dx.doi.org/10.5811/cpcem.2020.5.47020.

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Introduction: An iliopsoas abscess (IPA) is an abscess located adjacent to the iliopsoas and iliacus muscles. Although rare, their variable clinical presentations often lead to a delay in diagnosis. Case report: We present a case of sepsis secondary to multiple IPAs that was missed despite multiple healthcare encounters. The patient had no classical risk factors for an IPA, and the abscesses were found to be seeded via hematogenous spread from self-inflicted cutting. Conclusion: This case illustrates the importance of obtaining a complete history, including psychiatric screen, and performing a thorough examination when evaluating patients with low back pain to rule out overlooked sources of bacteremia.

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Matsuda, Shuntaro, Mayumi Kawasaki, Hideki Ichinari, and Kazuhiko Mine. "A Pseudo-iliopsoas Abscess." Internal Medicine 53, no. 15 (2014): 1729. http://dx.doi.org/10.2169/internalmedicine.53.2678.

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Aita, Katsuhiro, Keizou Morisawa, Motoki Sonohata, et al. "Treatment of Iliopsoas Abscess." Orthopedics & Traumatology 48, no. 4 (1999): 1027–30. http://dx.doi.org/10.5035/nishiseisai.48.1027.

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Patel, Ramnik, Ashwin Pimpalwar, and Kim Hutton. "Primary neonatal iliopsoas abscess." Journal of Pediatric Surgery Case Reports 1, no. 2 (2013): 11–13. http://dx.doi.org/10.1016/j.epsc.2013.02.005.

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Cacurri, Alban, Gaspare Cannata, Stefano Trastulli, et al. "A Rare Case of Perforated Descending Colon Cancer Complicated with a Fistula and Abscess of Left Iliopsoas and Ipsilateral Obturator Muscle." Case Reports in Surgery 2014 (2014): 1–5. http://dx.doi.org/10.1155/2014/128506.

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Perforation of descending colon cancer combined with iliopsoas abscess and fistula formation is a rare condition and has been reported few times. A 67-year-old man came to our first aid for an acute pain in the left iliac fossa, in the flank, and in the ipsilateral thigh. Ultrasonography and computed tomography revealed a left abdominal wall, retroperitoneal, and iliopsoas abscess that also involved the ipsilateral obturator muscle. It proceeded with an exploratory laparotomy that showed a tumor of the descending colon adhered and perforated in the retroperitoneum with abscess of the iliopsoas muscle on the left-hand side, with presence of a fistula and liver metastases. A left hemicolectomy with drainage of the broad abscess was performed. Pathologic report findings determined adenocarcinoma of the resected colon.

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Vlasova, A. A., T. V. Sorokina, N. A. Kirillova, et al. "Difficulties in the Diagnosis of Iliopsoas Muscle Abscess in a Patient with Chronic Pain Syndrome." Russian Archives of Internal Medicine 13, no. 6 (2024): 459–65. http://dx.doi.org/10.20514/2226-6704-2023-13-6-459-465.

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Iliopsoas muscle abscess is a rare surgical pathology that, in the beginning with the main location of the muscles, determines the diagnosis of this disease. A timely diagnosis will determine a favorable prognosis for the patient. The article describes the case of an elderly patient with fever and intoxication syndrome against the background of chronic pain syndrome. The long course of the pain syndrome complicated the diagnostic search and forced diagnosis. The iliopsoas abscess includes a differential range of disorders in patients, detection of fever, pain in the legs, antalgic gait with closure of the thigh muscles, and a positive psoas symptom. Informing doctors about the manifestations of iliopsoas muscle abscess, the importance of diagnosing this life-threatening condition.

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Chan, Jasper F. W., Samson S. Y. Wong, Sally S. M. Leung, et al. "Capnocytophaga sputigena primary iliopsoas abscess." Journal of Medical Microbiology 59, no. 11 (2010): 1368–70. http://dx.doi.org/10.1099/jmm.0.022905-0.

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Iliopsoas abscess is usually secondary to the spread of infection from a contiguous focus. Primary disease is uncommon, except in children where Staphylococcus aureus is the main pathogen. We report a 60-year-old woman who developed a primary iliopsoas abscess as a result of haematogenous spread of Capnocytophaga sputigena from a palatal fistula and chronic sinusitis due to previous treatment for nasopharyngeal carcinoma. Pyomyositis due to unusual and fastidious Gram-negative bacilli should be considered in patients with head and neck tumours who have previously received radiotherapy.

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Vivian Ndidi Akagbue, Chidinma Wekhe, and Olukunmi Yetunde Ijeruh. "A case report of bilateral psoas abscess with co-existing gluteal abscess in Pott`s disease of the spine in a middle-aged woman in a Specialist Hospital." Magna Scientia Advanced Research and Reviews 12, no. 1 (2024): 195–201. http://dx.doi.org/10.30574/msarr.2024.12.1.0167.

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Psoas abscess (PA) is the buildup of suppurative fluid in the fascia surrounding the psoas/iliopsosas muscle, is a rare condition, with diagnostic difficulty. Pott`s disease also called spinal tuberculosis occurs due to extra pulmonary tuberculosis. Backpain, fever, weight loss, lump in the groin and limping are its main symptoms. Curable by administering antitubercular therapy and sensitive antimicrobials with analgesics for indicative relief. Surgical procedures can be carried out to eliminate the accrued fluid based on the inter individual degree of presentation. In this case report, we report a rare case of bilateral psoas abscess with co-existing gluteal abscess and Potts’s disease. A 48-year old female presented with complaints of backpain, limping, lump in the flank/buttock and fever of two weeks. Abdominopelvic computed tomography scan showed massive right iliopsoas muscle collection with extension into the ipsilateral gluteal region and subcutaneous tissue. Similar collection was seen in the left psoas muscle superiorly. The bone window of the lumbosacral spine showed the anterior wedged collapse of the vertebral bodies with gibbus deformity. The patient had spontaneous rupture of the gluteal collection and surgical drainage of the right iliopsoas and left psoas collection was done. Anti-Kochs therapy was commenced and patient is currently doing great. The introduction of computed tomography (CT) and magnetic resonance imaging (MRI) has greatly improved the diagnosis of psoas abscess with Pott`s disease or in its isolated forms.

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Sayes, Najla, Siraj Wali, Yaseen Samman, Abimbola O. Osoba, and Mohammed Al Dakhil. "Multidrug-Resistant Tuberculous Iliopsoas Abscess." Annals of Saudi Medicine 20, no. 1 (2000): 37–39. http://dx.doi.org/10.5144/0256-4947.2000.37.

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Ishibashi, Hiroki, Takehito Oshio, Tomoko Sogami, et al. "Iliopsoas Abscess in an Infant." Journal of Medical Investigation 61, no. 1.2 (2014): 213–16. http://dx.doi.org/10.2152/jmi.61.213.

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Nelson, D. B., D. B. Manders, and S. A. Shivvers. "Primary Iliopsoas Abscess and Pregnancy." Obstetric Anesthesia Digest 31, no. 3 (2011): 199–200. http://dx.doi.org/10.1097/01.aoa.0000400346.70796.a4.

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Shields, D. W., and P. G. Robinson. "Iliopsoas abscess masquerading as 'sciatica'." Case Reports 2012, dec20 1 (2012): bcr2012007419. http://dx.doi.org/10.1136/bcr-2012-007419.

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Yano, Tsunehiro, Hideo Takamatsu, Hiroyuki Noguchi, et al. "Iliopsoas abscess in the neonate." Journal of Pediatric Surgery 39, no. 7 (2004): e13-e15. http://dx.doi.org/10.1016/j.jpedsurg.2004.03.080.

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Nelson, David B., Dustin B. Manders, and Stephan A. Shivvers. "Primary Iliopsoas Abscess and Pregnancy." Obstetrics & Gynecology 116, Supplement (2010): 479–82. http://dx.doi.org/10.1097/aog.0b013e3181e77cb8.

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Walsh, Thomas R., James R. Reilly, Edward Hanley, Marshall Webster, Andrew Peitzman, and David L. Steed. "Changing etiology of iliopsoas abscess." American Journal of Surgery 163, no. 4 (1992): 413–16. http://dx.doi.org/10.1016/0002-9610(92)90043-q.

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Santaella, Robert O. "Primary vs Secondary Iliopsoas Abscess." Archives of Surgery 130, no. 12 (1995): 1309. http://dx.doi.org/10.1001/archsurg.1995.01430120063009.

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Kurian, Elizabeth, Rajeev Anand, Rebin Bos, and Jijo Joseph. "A case report of perinephric abscess extending as psoas abscess." International Journal of Advances in Medicine 8, no. 11 (2021): 1743. http://dx.doi.org/10.18203/2349-3933.ijam20214069.

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Iliopsoas abscess is a rare clinical entity. It is even more uncommon for psoas abscess to develop in association with genitourinary infections like perinephric abscess because of the retroperitoneal anatomy. Here we present an unusual case of a perinephric abscess extending as psoas abscess which was treated with computed tomography (CT) guided drainage.

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Suresh, Chilaka, Oseen Hajilal Shaikh, Mude Naveen Naik, and Uday Shamrao Kumbhar. "Bilateral iliopsoas abscess presenting with abdominal wall cellulitis and left-sided empyema thoracis: a rare presentation." BMJ Case Reports 14, no. 10 (2021): e244697. http://dx.doi.org/10.1136/bcr-2021-244697.

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Iliopsoas abscess is common in immunocompromised patients and rarely presents with empyema thoracis. We present a 26-year-old male with no comorbidities who presented with a 3-day history of abdominal pain, fever and dyspnoea. There was no history of tuberculosis or recent contact with a tuberculous patient. On examination, the patient had facial dysmorphism and abdominal wall cellulitis extending bilaterally from flank to the inguinoscrotal region. Chest X-ray showed a left pleural effusion. Ultrasonography and contrast-enhanced CT also showed bilateral iliopsoas abscess with a left massive pleural empyema. The patient underwent bilateral abscess open drainage, thoracostomy for left empyema thoracis and intravenous antibiotic therapy. The patient had an uneventful course postoperatively and was discharged.

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Elanany, Mervat, Reham Abdel Mageed, and Maha Hasaballah. "435. Iliopsoas Abscess in Egyptian Patients Presenting to Cairo University Hospitals." Open Forum Infectious Diseases 6, Supplement_2 (2019): S216. http://dx.doi.org/10.1093/ofid/ofz360.508.

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Abstract Background The incidence of iliopsoas abscess (IPA) is rare but the frequency of this diagnosis has increased with the use of ultrasonography and computed tomography (CT). The vague presentation leads to delays in diagnosis and increases morbidity. Managing iliopsoas abscess is still forming a therapeutic challenge. The aim of this research was to study the features of iliopsoas abscess cases including the etiology and clinical presentation. Methods Patients and Methods. all patients presented to the orthopedic outpatient clinic (Cairo university hospitals) by back pain were screened by plain X-ray and IPA was by ultrasonography (US). The confirmed patients were diagnosed as having psoas or iliopsoas collection and subjected to: full history taking, full laboratory workup, screening for tuberculosis, radiological studies and ultrasound-guided needle aspiration of the abscess. The aspirate samples were microbiologically tested by culture (aerobic, anaerobic and MGIT) and PCR technique. Follow-up US was done within 7 days from the first aspiration. Results The outpatient clinic received 40 thousand back pain cases during a one-year study. Only 14 patients were diagnosed as IPA. The age ranged 19–65years (mean 37years) and 57% were male. 44.4% patients had primary IPA while 55.5% patients had secondary IPA. All patients had limping and flank pain, backache or both. Fever was common 90% of patients. Leukocytosis was found in 55.5% of patients, ESR was elevated and CRP was positive in all patients. Z.N stain for AFB was negative in all patients. Culture of aspirated fluid revealed S.aureus as the commonest organism (44% of cultures), then E.coli in (22% of cultures), Mycobacterial tuberculosis in 7% by MGIT culture and PCR. Other cultures were negative. All patients were treated by drainage and appropriate antibiotics. surgical intervention was needed in 22% patients. Recurrence occurred in only 1 patient with tuberculous iliopsoas abscess. Conclusion Although IPA is rare, the appropriate diagnosis by US is needed. S.aureus is the commonest pathogen but Mycobacterial tuberculosis could be a cause for recurrence. Disclosures All authors: No reported disclosures.

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Kim, Chul-Ho, Kekatpure Aditya, Soong-Joon Lee, et al. "Arthroscopic treatment of psoas abscess concurrent with septic arthritis of the hip joint." HIP International 28, no. 3 (2017): 336–40. http://dx.doi.org/10.5301/hipint.5000579.

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Purpose: To describe the outcomes of 7 cases of psoas abscess concurrent with septic arthritis of the hip treated by hip arthroscopy alone. Methods: We retrospectively collected the data of patients who underwent arthroscopic drainage of psoas abscess concurrent with septic arthritis of the hip. Arthroscopic debridement was performed in both the central and peripheral hip joint compartments. In all cases, the iliopsoas compartment was accessed from the peripheral compartment through an anterior capsulotomy without limb traction. After debridement and drainage of the iliopsoas compartment, a suction drain tube was placed in the iliopsoas compartment through an enlarged anterior capsulotomy and another tube in the peripheral compartment. Postoperative intravenous antibiotics were administered on the basis of culture results; in cases with no positive culture, empirical antibiotics were administered for 4 to 6 weeks after surgery. Results: 7 patients underwent arthroscopic debridement and drainage for a psoas abscess concurrent with hip joint septic arthritis. Laboratory tests were normalized within 4 weeks after hip arthroscopy in all patients. At a median follow-up of 16 months (range, 13-30 months) after surgery, infection recurrence was absent in all patients. Conclusions: Arthroscopic debridement alone could be an effective treatment alternative to open surgery for psoas abscess concurrent with hip joint septic arthritis.

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Agrawal, Vijay P., PN Sreeramulu, and Pawan Katti. "Fungal iliopsoas abscess: A rare entity." International Journal of Biomedical and Advance Research 4, no. 8 (2013): 572. http://dx.doi.org/10.7439/ijbar.v4i8.434.

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Nisar, Muhammad, Samer Sikander, Zenab Noorain, Mehr-un-Nisa Baig, and Nadeem Akhtar. "Primary Iliopsoas Abscess in a Neonate." Journal of the College of Physicians and Surgeons Pakistan 29, no. 06 (2019): S45—S47. http://dx.doi.org/10.29271/jcpsp.2019.06.s45.

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LARSON, DAVID C., DAN L. NGUYEN, RONALD G. RAFTERY, and JOE C. LEONARD. "Iliopsoas Abscess in an Immunocompromised Patient." Clinical Nuclear Medicine 13, no. 9 (1988): 682–83. http://dx.doi.org/10.1097/00003072-198809000-00022.

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Tabrizian, Parissa. "Management and Treatment of Iliopsoas Abscess." Archives of Surgery 144, no. 10 (2009): 946. http://dx.doi.org/10.1001/archsurg.2009.144.

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Elliott, Carla. "Paediatric Iliopsoas abscess: A case report." Australasian Journal of Ultrasound in Medicine 16, no. 4 (2013): 198–201. http://dx.doi.org/10.1002/j.2205-0140.2013.tb00248.x.

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Abdulahi, Mohamoud, Abdirahman Omer Ali, Abdirahman Ibrahim Said, Hassan Elmi Moumin, Abdiaziz Walhad, and Abdisalam Hassan Muse. "Neonatal iliopsoas abscess: A case report." Journal of Pediatric Surgery Case Reports 118 (July 2025): 103024. https://doi.org/10.1016/j.epsc.2025.103024.

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Mark, Justin David, Travis Park, Virginia Velez Quinones, and Shaun Isaac. "Rare extension of pancreatic pseudocyst withMycobacterium abscessusinto the iliopsoas muscle." BMJ Case Reports 15, no. 11 (2022): e252777. http://dx.doi.org/10.1136/bcr-2022-252777.

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Pancreatic pseudocyst is a well-known complication of both acute and chronic pancreatitis. Although extension into other anatomical sites is common, extension into the retrofascial space causing an iliopsoas abscess is exceedingly rare. Although its low incidence creates a diagnostic challenge for clinicians, early diagnosis is essential to prevent significant complications and poor patient outcomes. We present a case of iliopsoas abscess with unusual culture fluid growth in the setting of acute on chronic pancreatitis secondary to extension of a pancreatic pseudocyst. We also offer a brief review of the literature and pathophysiology of the condition.

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Khorgade, Ranjana R., Pramod R. Bhise, and Mukta M. Deshmukh. "Psoas abscess due to mycobacterium tuberculosis: a case report." International Journal of Research in Medical Sciences 5, no. 7 (2017): 3251. http://dx.doi.org/10.18203/2320-6012.ijrms20173025.

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Iliopsoas abscess (IPA), a collection of pus in the iliopsoas compartment that has traditionally been classified into primary and secondary according to its origin, is an infrequent condition worldwide. Mostly active TB is confined to the lung, but approximately 15% are extrapulmonary. The most common types of extrapulmonary TB are, in descending order of frequency, pleural, lymphatic, bone and joint, genitourinary, miliary disease, meningitis, and peritonitis. Tuberculosis (TB) remains as one of the leading opportunistic infection in patients in developing countries. Here we report a rare case of psoas abscess of tubercular origin in patient who presented with back pain and limping. Diagnosis is done based on history, physical examination, plain radiology, microbiological investigation and CT scan of abdomen which revealed a large psoas abscess caused by M. tuberculosis. Patient was diagnosed as psoas abscess due to Mycobacterium tuberculosis and treated empirically with DOTS category I and significant functional improvement was noted on follow up.

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Sengar, Shobhit, and Malkhan Singh. "Colonic perforation presenting as retroperitoneal abscess: case report and brief review of literature." International Surgery Journal 9, no. 11 (2022): 1920. http://dx.doi.org/10.18203/2349-2902.isj20222955.

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Retroperitoneal colonic perforation is a rare cause of retroperitoneal abscess. It presents more frequently in frail elderly patients with heterogeneous signs and symptoms which make it difficult to diagnose clinically. Subcutaneous emphysema with pneumomediastinum and iliopsoas muscle abscess are unusual signs. Abscess formation occurs in 0.3 to 0.4% and is the second most common complication of perforated lesions. Acute appendicitis may also present with retroperitoneal abscess which is a life threatening complication.

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Kwan, Amy, Akshay Bhanshaly, and Charles Wright. "Iliopsoas abscess: an unusual cause of postpartum sepsis." Obstetric Medicine 2, no. 1 (2009): 30–31. http://dx.doi.org/10.1258/om.2008.080012.

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SAWADA, Suguru, Makoto ISHIKAWA, and Masahiro SEKINO. "A CASE REPORT OF GIANT ILIOPSOAS ABSCESS CAUSING SUBCUTANEOUS ABSCESS." Journal of the Japanese Practical Surgeon Society 58, no. 3 (1997): 681–84. http://dx.doi.org/10.3919/ringe1963.58.681.

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Mederle, Ovidiu Alexandru, Laurentiu Sima, Daian Ionel Popa, et al. "Primary Iliopsoas Abscess and Drug-Induced Liver Injury in the Emergency Department: A Case Report." Diseases 12, no. 12 (2024): 326. https://doi.org/10.3390/diseases12120326.

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Background and objective: Iliopsoas abscess (IPA) is a rare condition with varied symptomology and etiology. Less than one-third of patients with IPA present in the emergency department (ED) with the traditional triad of fever, back pain, and restricted hip motion (or limp), leading to delays in diagnosis and management. Acute liver failure is also a rare clinical presentation in the ED, being associated with high morbidity and mortality. It occurs most often in young patients without pre-existing liver disease, presenting unique challenges in clinical management. Most cases currently happen because of drug-induced liver injury (DILI), mainly from acetaminophen or idiosyncratic drug reactions. This case report aims to raise awareness among healthcare professionals regarding the two atypical presentations in ED and introduce a potential differential diagnosis when evaluating patients with fever and back pain or liver enzyme elevations with or without nonspecific symptoms associated with the development of jaundice. The intention is to provide insights into the signs and symptoms that may indicate the presence of an iliopsoas abscess and prompt additional investigations. Case report: Here, we describe a case of primary iliopsoas abscess associated with drug-induced liver injury in our ED. The patient complained of pain in the left lumbar region and fatigue that started two weeks before this presentation, claiming that, during the previous night, the pain suddenly worsened. At the first clinical examination in the ED, the patient presented pain at palpation in the right hypochondriac and left lumbar regions, accompanied by fever, vomiting, and jaundice. On abdominal ultrasonography, the diagnosis of acute cholangitis was suspected. The laboratory test shows leukocytosis with neutrophilia, thrombocytosis, elevated liver enzymes, and hyperbilirubinemia with the predominance of indirect bilirubin. After analyzing the laboratory test results, we repeated and performed a more detailed anamnesis and medical history of the patient. Because of her increasing pain and persistent fever, she recognized excessive consumption in the last five days of drug-induced hepatotoxicity. We performed abdominal and pelvic computed tomography, which confirmed the diagnosis of cholelithiasis observed with the diameter of the bile duct within normal limits but also showed an abscess collection fused to the interfibrillar level of the left iliopsoas muscle, a diagnosis we most likely would have missed. The patient was hospitalized in the General Surgery Department, and surgical abscess drainage was performed. The patient’s evolution was excellent; she was discharged after 11 days. Conclusions: The case presented here exemplifies how iliopsoas abscess, a rare cause of back pain, can quickly go unrecognized, especially in the emergency department. Our experiences will raise awareness among doctors in emergency departments about this uncommon but essential diagnosis. With advancements in diagnostic tools and techniques, we hope that more cases of iliopsoas abscess will be accurately diagnosed. Moreover, no case report from the literature has presented IPA associated with DILI. This case is unique because our patient did not exhibit classic features of either pathology. This case also emphasizes the importance of a medical history that includes thorough evaluations of potential high utilization of drug-induced hepatotoxicity.

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Frank, Daniel, Brian Neal, and Andrew Jacobs. "Iliopsoas Abscess Due to Nephrolithiasis and Pyelonephritis." Clinical Practice and Cases in Emergency Medicine 2, no. 3 (2018): 264–65. http://dx.doi.org/10.5811/cpcem.2018.4.38206.

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Watanabe, Ryu, Hiroshi Fujii, Tomonori Ishii, and Hideo Harigae. "Calcified Iliopsoas Abscess Caused by Enterococcus faecalis." Internal Medicine 53, no. 4 (2014): 345. http://dx.doi.org/10.2169/internalmedicine.53.1500.

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Nakamura, Shota, Tetsuo Taniguchi, Koji Kawaguchi, Takayuki Fukui, and Kohei Yokoi. "A case of mediastinitis with iliopsoas abscess." Journal of the Japanese Association for Chest Surgery 27, no. 6 (2013): 707–11. http://dx.doi.org/10.2995/jacsurg.27.707.

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Zou, Ming-Xiang, Jing Li, and Guo-Hua Lyu. "Iliopsoas Abscess Due to Brenner Tumor Malignancy." Chinese Medical Journal 128, no. 3 (2015): 423–24. http://dx.doi.org/10.4103/0366-6999.150126.

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Benkhadoura, Mohamed O., Abdulhafid H. El-Mogassabi, Salah M. Mansor, et al. "Iliopsoas abscess: clinical presentation, management, and outcome." International Surgery Journal 6, no. 1 (2018): 17. http://dx.doi.org/10.18203/2349-2902.isj20185458.

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Background: The aim of this study was to review our experience with iliopsoas abscesses (IPAs) and evaluate the various drainage procedures.Methods: All consecutive patients with an IPA admitted to three university hospitals between September 2008 and June 2017 were retrospectively included.Results: Of the 26 patients, 17 (65.4%) were male and nine (34.6%) were female, with an average age of 30.7 (17-58) years. Fifteen (57.7%) cases had primary IPAs and Staphylococcus spp. was the most common isolate. Eleven (42.3%) cases had secondary IPAs, and spinal tuberculosis was the most common underlying condition. Lower-back or flank pain was the most common presentation (69.2%). Computed tomography (CT) scans confirmed all clinical diagnoses. All patients were managed via drainage and antibiotic therapy; seven (26.9%) were subjected to open surgical drainage and 19 (73.1%) received percutaneous drainage (PCD) under ultrasound (US) guidance. The average hospital stay was 9.5 days (range 5-18 days). The hospital stay was significantly shorter in patients treated via PCD compared to those who received open drainage: 8.5 days (range 5-14 days) vs. 12.1 days (range 6-18 days), respectively (p = 0.031). The overall recurrence rate was 11.5% (3/26). Recurrence developed in three patients treated via US-guided PCD and all were successfully treated via a second round of PCD. No mortality was recorded.Conclusions: US-guided PCD combined with appropriate antibiotic therapy is safe and effective with shorter hospital stay when used to treat IPAs. Open surgical drainage may be warranted if the IPA is multiloculated or if there is an underlying pathology.

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Journal articles on the topic 'Iliopsoas abscess'

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