Acute hip pain and inability to ambulate: a rare presentation for perirectal abscess

Smereck, Janet; Ybarra, Michael

doi:10.1016/j.ajem.2010.03.033

Cited by 4 publications

(2 citation statements)

References 19 publications

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“…4 Another case report of hip pain and inability to ambulate due to ischiorectal abscess. 5 Given supralevator space proximity to the hip, it is speculated that this is the reason for hip pain and gas presenting in or near the hip joint.…”

Section: Discussionmentioning

confidence: 99%

Supralevator Abscess Presenting With Pneumoarthrosis And Retroperitoneal Air, A Case Report

Ekkel

Hain

2021

Preprint

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74-year-old male presented to the emergency department with complaint of fever, weakness, and fatigue and was admitted to the hospital for further workup. The patient was found to have gram negative bacteremia and Clostridioides difficile infection. Computed tomography imaging of the abdomen and pelvis was obtained and demonstrated air in the retroperitoneal/ presacral space tracking to the left hemipelvis and femoral joint. Concern for possible septic joint lead to an Orthopedic surgery evaluation and magnetic resonance imaging of the left hip and pelvis which revealed a complicated perirectal infection tracking to the left hemipelvis. The patient was taken to the operating room with colorectal surgery for further management and treatment.

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Section: Discussionmentioning

confidence: 99%

Supralevator Abscess Presenting With Pneumoarthrosis And Retroperitoneal Air, A Case Report

Ekkel

Hain

2021

Preprint

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“…Despite our extensive literature review we were unable to find a previous report documenting this finding in ischio-rectal abscess. There have been a few case reports which have documented unusual presentation of ischio-rectal abscess [10] , [11] , [12] .…”

Section: Discussionmentioning

confidence: 99%

A case report of pneumo-retro-peritoneum: An unusual presentation of ischio-rectal abscess

Butt

Bhatti

Wadood

et al. 2017

Annals of Medicine &Amp; Surgery

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IntroductionAno-rectal abscesses are common. They however usually do not present with abdominal symptoms. CT although useful is not routinely carried out. Finding of Pneumo-retro-peritoneum with ischio-rectal abscess is rare.Case presentationWe present the case of a diabetic gentleman who presented with abdominal pain and distension and was found to have ischio-rectal abscess on perianal examination. Although initially suspected to have acute abdomen due to perforated viscus, CT scan revealed pneumo-retro-peritoneum which appeared to arise due to the abscess. Patient underwent incision and drainage of the abscess followed by serial debridement. He made a complete recovery.ConclusionAbdominal symptoms are rare in ischio-rectal abscess, but they must be kept in mind. Proper diagnosis may avoid a negative laparotomy.

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Disorders of the inert structures

Ombregt¹

2013

A System of Orthopaedic Medicine

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Acute hip pain and inability to ambulate: a rare presentation for perirectal abscess

Cited by 4 publications

References 19 publications

Supralevator Abscess Presenting With Pneumoarthrosis And Retroperitoneal Air, A Case Report

Supralevator Abscess Presenting With Pneumoarthrosis And Retroperitoneal Air, A Case Report

A case report of pneumo-retro-peritoneum: An unusual presentation of ischio-rectal abscess

Disorders of the inert structures

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