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Prevertebral abscess with extension into the hip joint.
P K Beredjiklian1, L Adler, K Wong
1Department of Orthopaedic Surgery, University of Pennsylvania Health System, Philadelphia, USA.
American Journal of Orthopedics (Belle Mead, N.J.)
|August 3, 2001
Summary
A paravertebral abscess extended into the hip joint, likely via the iliopsoas bursa. Surgical drainage and debridement led to a favorable 2-year outcome for this rare infection pathway.
Area of Science:
- Infectious Diseases
- Orthopedic Surgery
- Radiology
Background:
- Paravertebral abscesses are serious infections.
- Hip joint infections can lead to significant morbidity.
- The iliopsoas bursa can connect the retroperitoneal space to the hip joint.
Observation:
- A patient presented with a paravertebral abscess.
- The abscess had extended into the hip joint.
- The iliopsoas bursa was identified as the likely route of infection.
Findings:
- Successful treatment involved emergent open irrigation and debridement of the hip joint.
- Percutaneous drainage of the paravertebral abscess was also performed.
- The patient experienced minimal symptoms at the 2-year follow-up.
Implications:
- This case highlights a rare but potential pathway for paravertebral abscess to involve the hip joint.
- Prompt surgical intervention is crucial for managing such complex infections.
- Understanding the iliopsoas bursa's role is important for diagnosis and treatment.