A gigantic iliopsoas abscess in a patient with Alexander's disease

Abstract

Case presentationHere we present a case of a gigantic iliopsoas abscess (IPA) that was discovered late because of Alexander's disease.An IPA is a collection of pus within the compartments of the psoas major and iliopsoas muscles; IPA typically has three symptoms: fever, back pain, and limitation of hip motion, but patients with communication difficulties may be unable to report symptoms, which may delay detection of an IPA.Because IPA are relatively easy to diagnose with computed tomography, physicians are encouraged to perform these studies immediately in such patients. Percutaneous drainage is a minimally invasive, efficient, and safe procedure with good clinical recovery. Rapid diagnosis and treatment can avoid serious infection and surgery.