An Atypical Case of Psoas Abscess in an Elderly Patient

Coşarderelioğlu, Çağlar; Bahşi, Remzi; Öztorun, Hande Selvi; Atmış, Volkan; Yalçın, Ahmet; Aras, Sevgi; Varlı, Murat

doi:10.4274/ejgg.galenos.2019.32

Cited by 4 publications

(4 citation statements)

References 5 publications

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“…It can occur due to contiguous spread from adjacent structures or hematogenous spread from a distant site. The incidence is low, but the use of computed tomography has increased the frequency of this diagnosis, with most cases diagnosed postmortem 2 .…”

Section: Discussionmentioning

confidence: 99%

“…Primary IPA results from an organism's hematogenous or lymphatic spread from a distant site. Risk factors include diabetes, intravenous drug use, human immunodeficiency virus (HIV) infection, renal failure, and other forms of immunosuppression [1,2]. Secondary IPA occurs when a nearby infectious/inflammatory process extends directly into the iliopsoas [3,4].…”

Section: Discussionmentioning

confidence: 99%

“…It can occur primarily or secondary. It may present with nonspecific symptoms such as abdominal pain, fever, loss of appetite, weight loss, and limping [1][2][3][4][5][6][7]. The most common pathogens detected in the abscess fluid are Staphylococcus aureus (88.4%), Streptococcus (4.9%), and Escherichia coli (2.8%) [6].…”

Section: Introductionmentioning

confidence: 99%

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An Aortic Abscess Associated with Psoas Abscess: A Case Report

SELKİ

Demir

Boğan

2023

Journal of Emergency Medicine Case Reports

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In this article, we report a case in which a psoas abscess opened into the aneurysmatic abdominal aorta, and abscess formation was observed in the aortic lumen containing a stent. A 57-year-old male patient presented to the emergency department with a complaint of abdominal pain. During the abdominal examination of the patient, tenderness and defense were detected in the right lower quadrant. Contrast-enhanced computed tomography (CT) angiography of the abdominal aorta was ordered because the patient had a history of previous stenting and right lower quadrant deficiency. In the right iliopsoas muscle, there was an increase in size suggestive of abscess formation with air densities. The diameter of the ascending aorta was 44 mm. At the level of the descending thoracic aortic bifurcation, an aneurysmatic appearance was noted in a segment of approximately 140 mm extending to the proximities of both main iliac arteries, and USG showed air in the wall in the aneurysmatic section and mural wall thickening with thrombus. In this case, although the abscess eroded the aneurysmatic aortic wall, acute bleeding did not develop due to the presence of a stent. We wanted to share the rare image on computed tomography (massive air-fluid level around the stent in the aortic lumen), especially in our case with the medical literature.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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An Aortic Abscess Associated with Psoas Abscess: A Case Report

SELKİ

Demir

Boğan

2023

Journal of Emergency Medicine Case Reports

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“…Psoas Abscess (PA) is uid accumulation in fascia around the psoas muscles which plays a vital role in the exion of trunk [1]. According to a study, the mean time span between the onset of symptoms and PA diagnosis was found to be 22 days with one third of patients diagnosed after 42 days [2].…”

Section: Introductionmentioning

confidence: 99%

Psoas Abscess with Pott Spine: A Case Report

Patel,

Patel

et al. 2024

Preprint

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Introduction Psoas abscess is the accumulation of fluid around the iliopsoas muscle. Potts spine also called spinal tuberculosis occurs due to extra pulmonary tuberculosis. The most common etiology is staphylococcus aureus. Common clinical manifestations include high grade fever, back pain, weight loss and lump in groin. Condition can be treated by anti-tubercular therapy and sensitive Anti-microbials with analgesics for symptomatic relief. Drainage and surgical procedures can be carried out to remove the accumulated fluid based on inter individual severity. In this case study, we report a rare case of Psoas Abscess with Pott Spine. Case Presentation A 28-year female presented with complaints of lump pain in groin, abdominal pain, flank pain, fever and weight loss. Medical history showed untreated tuberculosis since 5-6 months. MRI Pelvis showed right psoas abscess measuring approximately 7cm x 6.5cm x 14cm while MRI Dorso-lumbar Spine showed Potts spine. The drainage clearance procedure was performed, and patient was prescribed with anti-tuberculous and anti-microbial drugs during hospitalisation. On discharge patient’s condition was improved. Conclusion The condition is rare. Potts spine, if not diagnosed early may delay the prognosis and cause psoas abscess so it must be treated in time to reduce morbidity and mortality. Follow-up is essential to prevent the relapse of Extra-pulmonary tuberculosis.

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