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Primary psoas abscess: report of one case
1Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan, R.O.C.
Zhonghua Minguo Xiao Er Ke Yi Xue Hui Za Zhi [Journal]. Zhonghua Minguo Xiao Er Ke Yi Xue Hui
|January 1, 1992
Summary
A pediatric psoas abscess mimicked hip arthritis in a 6-year-old girl. Prompt surgical drainage and antibiotics led to a full recovery, highlighting the importance of considering retroperitoneal infections in hip pain cases.
Area of Science:
- Pediatric Infectious Diseases
- Pediatric Orthopedics
- Abdominal Surgery
Background:
- Hip pain and limping gait in children can indicate various conditions, including septic arthritis.
- Differentiating musculoskeletal from intra-abdominal pathology is crucial for timely and appropriate treatment.
Observation:
- A 6-year-old girl presented with persistent fever, right hip pain, and limited range of motion, initially suggesting pyogenic arthritis.
- Initial hip joint aspiration was negative for infection.
- Physical examination revealed tenderness in the right lower abdomen, prompting further investigation.
Findings:
- Laparotomy revealed a retroperitoneal abscess, later diagnosed as a psoas abscess.
- Surgical drainage of the psoas abscess and subsequent antibiotic therapy were initiated.
- The patient recovered well and was discharged after two weeks.
Implications:
- Psoas abscess should be considered in the differential diagnosis of pediatric hip pain, especially when initial joint evaluations are inconclusive.
- Early recognition and surgical intervention are key to successful management of pediatric psoas abscess.
- This case underscores the importance of a comprehensive diagnostic approach in pediatric patients with limping gait and hip pain.