Piriformis Muscle Abscess Complicating Crohnʼs Ileitis

Berkelhammer, Charles; Debre, Michael; Gutti, Padmaja

doi:10.1097/01.mib.0000186487.76364.c8

Cited by 8 publications

(8 citation statements)

References 10 publications

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“…Solitary involvement of the piriformis has also been identified in a patient with a known case of CD. 2 Similar to the case above, this patient developed difficulty walking and bearing weight. Purulent complications can extend further from the abdominopelvic area with fistula communicating along fascial planes of the thigh into the knee compartment.…”

supporting

confidence: 61%

Hip Pain Secondary to Small Bowel Fistula to Pelvis

Cruz

Liang

Heltzel

et al. 2014

WestJEM

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supporting

confidence: 61%

Hip Pain Secondary to Small Bowel Fistula to Pelvis

Cruz

Liang

Heltzel

et al. 2014

WestJEM

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“…In addition, previous case reports have described an association between piriformis pyomyositis and sciatic nerve irritation. [12357] In this case, however, the SEA resulted from direct extension of an abscess from the pyriformis muscle into the spinal canal via a sacral foramen abscess [Figure 3]. [12]…”

Section: Discussionmentioning

confidence: 99%

Spinal epidural abscess in a patient with piriformis pyomyositis

Abou‐Al‐Shaar

Arnone

et al. 2016

Surg Neurol Int

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Background:Spinal epidural abscess resulting from piriformis pyomyositis is extremely rare. Such condition can result in serious morbidity and mortality if not addressed in a timely manner.Case Description:The authors describe the case of a 19-year-old male presenting with a 2-week history of fever, low back pain, and nuchal rigidity. When found to have radiographic evidence of a right piriformis pyomyositis, he was transferred to our institution for further evaluation. Because he demonstrated rapid deterioration, cervical, thoracic, and lumbar magnetic resonance imaging scans were emergently performed. They revealed an extensive posterior spinal epidural abscess causing symptomatic spinal cord compression extending from C2 to the sacrum. He underwent emergent decompression and abscess evacuation through a dorsal midline approach. Postoperatively, he markedly improved. Upon discharge, the patient regained 5/5 strength in both upper and lower extremities. Cultures from the epidural abscess grew methicillin-sensitive Staphylococcus aureus warranting a 6-week course of intravenous nafcillin.Conclusion:A 19-year-old male presented with a holospinal epidural abscess (C2 to sacrum) originating from piriformis pyomyositis. The multilevel cord abscess was emergently decompressed, leading to a marked restoration of neurological function.

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“…3,4 Most psoas muscle fluid collections in CD are purulent and contain enteric organisms. 1 There are rare reports of sterile abscesses in CD.…”

Section: 2mentioning

confidence: 99%