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Psoas abscess twenty-one years after ipsilateral nephrectomy
Selda Tez1, Gülcin Dilmen, Ali Unsal
1Department of Radiology and Urology, Fatih University, School of Medicine, Ankara, Turkey.
International Urology and Nephrology
|August 6, 2003
Summary
A rare psoas abscess caused by Proteus mirabilis developed 21 years after kidney removal (nephrectomy). This case highlights a delayed infection following surgery.
Area of Science:
- Urology
- Infectious Diseases
Background:
- Psoas abscesses are uncommon, often linked to spinal or abdominal infections.
- Delayed presentation of psoas abscesses, particularly years after nephrectomy, is rare.
Observation:
- A patient presented with a psoas abscess 21 years post-ipsilateral nephrectomy.
- The abscess was caused by the infrequent pathogen Proteus mirabilis.
Findings:
- Computed tomography (CT) accurately diagnosed the psoas abscess.
- Percutaneous drainage using ultrasonography-guided nephrostomy tube was the chosen intervention.
Implications:
- This case underscores the importance of considering delayed infections after nephrectomy.
- Proteus mirabilis should be recognized as a potential pathogen in late-onset psoas abscesses.
- Advanced imaging and minimally invasive techniques are crucial for diagnosis and management.