Sterile Seroma After Surgical Drainage of Purulent Psoas Abscess in Crohnʼs Disease

2010 ◽  
Vol 16 (4) ◽  
pp. 543-544 ◽  
Author(s):  
Nadia Hafeez ◽  
George Mesleh ◽  
Adam Treitman ◽  
Charles Berkelhammer
Keyword(s):  
Psoas Abscess ◽  
Surgical Drainage

scholarly journals Development of an Iliacus Muscle Abscess after School Exercise in a 17-Year-Old Female Student

2021 ◽  
Vol 4 (1) ◽  
pp. 62-66
Author(s):  
Yoshiyuki Tokuyama ◽  
Manabu Arai ◽  
Kentaro Yamano ◽  
Tomoya Masada ◽  
Shinsaku Imashuku
Keyword(s):  
Antinuclear Antibody ◽  
Female Student ◽  
Psoas Abscess ◽  
After School ◽  
Minor Trauma ◽  
Surgical Drainage ◽  
Female High School Student ◽  
Direct Spread ◽  
Female High School ◽  
Iliacus Muscle

Primary psoas abscess is due largely to hematogenous or lymphatic spread under immunocompromised conditions, whereas secondary psoas abscess is due largely to direct spread from adjacent infected structures. Trauma or hematoma within the muscle may predispose to the development of a primary abscess, especially if infection is present prior to injury, despite the absence of previous signs or symptoms of infection. This report describes a 17-year-old female high school student who developed an abscess within her iliacus muscle due to methicillin-susceptible <i>Staphylococcus aureus</i> after running 3 km on a hill as a school exercise. She was positive for antinuclear antibody and had had atopic dermatitis, suggesting that these factors, as well as exercise-related minor trauma or hematoma within the muscle, may have predisposed to abscess formation. She was treated with appropriate antibiotics and surgical drainage, resulting in recovery after 4 weeks.

scholarly journals Literature review and case report of bilateral extensive psoas abscess: A rare case of spondylomyelitis with infection spread to Hunter’s canal with a rare causative microorganism

2021 ◽  
Author(s):  
Vinodharan Nagaretnam ◽  
Sanjiv Rampal ◽  
Razif Abas ◽  
Suresh Chopra ◽  
Teh Hak Lian
Keyword(s):  
Diabetes Mellitus ◽  
Rare Case ◽  
Psoas Abscess ◽  
Lower Abdominal Pain ◽  
Left Thigh ◽  
Surgical Drainage ◽  
Lower Abdomen ◽  
Causative Microorganism ◽  
Missed Diagnosis ◽  
High Index Of Suspicion

A 43-year-old male patient with underlying diabetes mellitus presented with lower abdominal pain radiating to left thigh. He was hemodynamically stable, but appeared lethargic. Both iliac fossae were tender, and crepitus appreciated along the anteromedial aspect of the left thigh. The patient initially responded well to treatment and was discharged; however, he was re-admitted several months later due to recurrent collection showing the growth of Klebsiella pneumoniae in the culture and succumbed to sepsis due to deep-seated intramuscular abscess and lung empyema. In conclusion, psoas abscess is a condition that can mimic various pathologies related to the lower abdomen and, therefore, clinicians should always have a high index of suspicion to prevent a missed diagnosis. Early detection may yield good outcomes, if managed with adequate surgical drainage and appropriate antibiotics.

scholarly journals Neonatal Ilio-Psoas Abscess: Report of Two Cases

2014 ◽  
Vol 3 (1) ◽  
pp. 4
Author(s):  
Minakshi Sham ◽  
Dasmit Singh
Keyword(s):  
Risk Factor ◽  
Psoas Abscess ◽  
Surgical Drainage ◽  
Early Presentation ◽  
Second Child ◽  
Child Diagnosis ◽  
First Case ◽  
High Risk Factor ◽  
Systemic Antibiotics ◽  
Meconium Stained Amniotic Fluid

Ilio-psoas abscess (IPA) is rare in children and exceptional in the neonate. However, we recently managed two consecutive male neonates with right-sided IPA.  The first baby was born two days after rupture of the membranes and had thick meconium-stained amniotic fluid.  There was no such high risk factor in the second child. Diagnosis was made by ultrasonography in both the patients. Extraperitoneal surgical drainage was done and systemic antibiotics were given. Delay in presentation and uncontrolled sepsis, led to mortality in the first case. On the contrary, relatively early presentation, prompt drainage of the abscess and good response to higher antibiotics, lead to successful salvage of the second baby.

scholarly journals Role of percutaneous and surgical drainage in patients with psoas abscess: from the 6 cases of institutional experience

2012 ◽  
Vol 19 (4) ◽  
pp. 697-698
Author(s):  
Takeaki Sato ◽  
Ryosuke Nomura ◽  
Tomoyuki Endo ◽  
Daisuke Kudo ◽  
Nobuyuki Honma ◽  
...  
Keyword(s):  
Psoas Abscess ◽  
Surgical Drainage ◽  
Institutional Experience

scholarly journals Metal shrapnel causing psoas abscess: The first case report

2021 ◽  
pp. 106092
Author(s):  
Maher Al-Hajjaj ◽  
Mohammad Alsultan ◽  
Sarya Swed
Keyword(s):  
Case Report ◽  
Psoas Abscess ◽  
First Case

scholarly journals Fatal Case of a Contained Ruptured of the Infrarenal Aorta due to Simultaneous Primary Aortocaval Fistula and Aortoenteric Fistula

2021 ◽  
Author(s):  
Abdulhakim Ibrahim ◽  
Elena Marchiori ◽  
Alexander Oberhuber ◽  
Marco V. Usai
Keyword(s):  
Psoas Abscess ◽  
Aortic Rupture ◽  
Fatal Case ◽  
Aortoenteric Fistula ◽  
Infrarenal Aorta ◽  
Aortocaval Fistula ◽  
Antibiotic Management ◽  
Extensive Debridement ◽  
Crossover Bypass ◽  
Aortic Anastomosis

AbstractWe report an extremely rare case of primary aortocaval fistula with simultaneous development of an aortoenteric fistula in a 68-year-old man. The patient developed under oral anticoagulation a spontaneous intracaval aortic rupture. An emergency intervention was performed with a covering of the fistula with an aorto-uniiliac stent graft and a femoro-femoral crossover bypass. One week later, the patient was transferred to our institution with the diagnosis of a psoas abscess and a suspected concomitant aortoenteric fistula. We performed a complete explantation of the endograft and implanted it after extensive debridement an aortobiiliac bypass, made of bovine pericardium. The postoperative course was complicated, first by bleeding from the left iliac anastomosis, and then by bleeding from the proximal aortic anastomosis. The entire graft was explanted and an axillo-femoral bypass was implanted. The patient then developed a multi-organ failure and died 3 months later. If possible, an extended surgical debridement and resection of all infected tissue with in situ reconstruction is the gold standard. However, with this therapy, there is still a high risk of reinfection. Long-term antibiotic management is mandatory.

A non-resolving splenic ‘abscess’ in an elderly male – An unusual manifestation of splenic lymphoma

2020 ◽  
pp. 004947552098130
Author(s):  
Raj K Nagarajan ◽  
Balasubramanian Gopal ◽  
Muhamed Tajudeen ◽  
Sarath C Sistla ◽  
K Balamourougan
Keyword(s):  
Risk Factors ◽  
Splenic Abscess ◽  
Low Grade ◽  
Surgical Drainage ◽  
Elderly Male ◽  
Unusual Manifestation ◽  
Splenic Lymphoma ◽  
Haematogenous Spread ◽  
Uncommon Condition ◽  
Abscess Wall

Splenic abscess is a relatively uncommon condition, posing a diagnostic and therapeutic challenge for the treating physician. It occurs due to haematogenous spread from endocarditis or other septic foci, especially in immune-compromised individuals and diabetics. We describe an elderly male who presented with splenomegaly and low-grade fever with no predisposing factors. Examination revealed a tender splenomegaly. Ultrasonography (US) showed a hypoechoic area within the spleen from which guided aspiration of pus grew Staphylococcus aureus and Klebsiella pneumoniae. Percutaneous drainage and culture-based antibiotics failed to resolve the abscess, obligating surgical drainage. Intraoperative biopsy from the abscess wall was reported as splenic marginal lymphoma. This unusual presentation of lymphoma needs to be considered in splenic abscess without known risk factors.

Pneumothorax and pneumomediastinum secondary to surgical drainage malposition after esophagectomy

Surgery ◽  
2020 ◽  
Author(s):  
Rocío Mato ◽  
Teresa Rey ◽  
Teresa Alonso ◽  
Pablo Rama-Maceiras
Keyword(s):  
Surgical Drainage

Aggregatibacter aphrophilus spinal epidural abscess

2020 ◽  
Vol 13 (7) ◽  
pp. e235320
Author(s):  
Antoine Altdorfer ◽  
Pierre Gavage ◽  
Filip Moerman
Keyword(s):  
Risk Factors ◽  
Lower Limb ◽  
Rare Case ◽  
Epidural Abscess ◽  
Spinal Epidural Abscess ◽  
Surgical Drainage ◽  
Eikenella Corrodens ◽  
Aggregatibacter Aphrophilus ◽  
Progressive Neurological Deficit ◽  
Spinal Epidural

A 76-year-old woman with a rare case of spinal epidural abscess (SEA) that had no risk factors for such type of infection, presented symptoms of back pain, progressive neurological deficit of the lower limb and loss of sphincter control. A gadolinium-enhanced MRI confirmed the diagnosis of an SEA. The patient underwent laminectomy with surgical drainage, where cultures showed the presence of Aggregatibacter aphrophilus, a bacterium of the HACEK group (Haemophilus species, Aggregatibacter species, Cardiobacterium hominis, Eikenella corrodens, and Kingella species), rarely involved in SEA. Following surgery, the patient was treated with intravenous ceftriaxone for 6 weeks, and this gave excellent results.

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