Bulletin of Emergency And Trauma

A Late-onset Psoas Abscess Formation Associated with Previous Appendectomy: A Case Report

Document Type : Case Report

Authors

Sam Moslemi 1
Maryam Tahamtan 2
Seyed Vahid Hosseini 3

1 General Surgery Department, Shiraz University of Medical Sciences, Shiraz, Iran.

2 Department of Internal Medicine, Nemazee Teaching Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.

3 Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Abstract
Psoas abscesses could originate from an adjacent source of infection in the abdominopelvic cavity known as a secondary complication of acute appendicitis. However, it is considered as a very rare event when occurring late after the presentation of appendicitis. Whether it is the source or complication of acute appendicitis following appendectomy remains unclear. A 25-year-old man was admitted to our center with fever and abdominal pain. His past medical history was unremarkable except for having an acute appendicitis and complicated appendectomy 4 years before presenting illness. On admission, the patient was febrile with right lower quadrant abdominal tenderness and moderate leukocytosis. The Abdominopelvic CT- scan revealed a large right psoas muscle than the opposite site, that contained a hypodense mass measuring 6 cm in diameter with extension into right iliacus and internal oblique muscles..The patient underwent subsequent percutaneous abscess drainage under image guide and concurrent broad-spectrum antibiotic therapy.

Keywords

Late-onset psoas abscess formation
Complicated acute appendicitis
Appendectomy
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Bulletin of Emergency And Trauma
Volume 2, Issue 1 - Serial Number 1
6
Winter 2014
Pages 55-58

  • Receive Date 07 December 2013
  • Accept Date 09 March 2019

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