Infective iliopsoas bursitis

Abstract

We report a case of infective iliopsoas bursitis, and to our knowledge a similar case has not been described. The anatomical relation between the bursa and the hip, and related pathological conditions are reviewed. The contribution of CT-guided catheterisation is emphasised as it allows aspiration of fluid, injection of radio-opaque material and lavage.

Iliopsoas bursitis and pseudogout of the knee mimicking L2-L3 radiculopathy: case report and review of the literature

“…The patient may hold the hip in flexion and external rotation to eliminate pain, and limp to prevent hyperextension of the hip [7]. Pain, provoked by extension of the hip on walking, may be referred to the anterior thigh and knee, probably through femoral nerve compression [32,34,54]. Examination typically shows tenderness over a localized area just below the inguinal ligament and lateral to the femoral artery.…”

“…Iliopsoas bursitis may appear on a healthy background [67]. Involvement of the bursa has been reported secondary to osteochondromatosis [17,20,28,57], chondrosarcoma [70], pigmented villonodular synovitis [11,58,64,75], pyogenic bursitis [35,43,44,54,57,64], hip arthroplasty [5,35,44,50,55,67,80], septic arthritis [57,64,67], osteoarthritis [21, 25, 38, 57, 58, 64, 6"7], trauma [9,21,32,64,69], overuse during sporting activities [36,64], and avascular necrosis of the femoral head [9,15,48,57,70,74]. Although bilateral involvement has been reported in rheumatoid arthritis [77], unilateral involvement is the rule [2, 6, 16, 23, 25, 27, 29, 31, 32, 37, 41-43, 51-53, 57, 60, 63, 64, 70, 71, 73, 77].…”

“…It may cause diffuse swelling of the lower extremity by compression of the femoral and external iliac veins [1,2,14,23,25,29,32,39,52,57,60,64,65,70,77,80] or impedance of lymphatic drainage [60], bowel compression [6,11,58], and bladder compression [72,73]. It may also present as a swelling of the groin [6,12,27,38,53,54,57,58,62,64,68,72,77,78,79], swelling of the thigh [6,70] (Fig. 2).…”