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Intra abdominal abscess presenting as a thigh abscess.
D Chaudhary1, A Magar, P Thapa
1Department of Surgery, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal. dipen262@hotmail.com
Kathmandu University Medical Journal (KUMJ)
|January 3, 2006
Summary
Secondary thigh abscesses are uncommon and often have unclear origins. This case highlights tuberculous sacroiliitis as a potential cause in elderly diabetic patients, revealing a rare connection between spinal tuberculosis and thigh infections.
Area of Science:
- Infectious Diseases
- Orthopedic Surgery
- Radiology
Background:
- Secondary thigh abscesses are infrequently encountered in clinical practice.
- The etiology of these abscesses is frequently indeterminate, posing diagnostic challenges.
Observation:
- An elderly diabetic patient presented with a thigh abscess.
- Imaging and clinical evaluation revealed the abscess was secondary to tuberculous sacroiliitis.
Findings:
- The case demonstrates a rare instance of a thigh abscess originating from tuberculous sacroiliitis.
- This highlights a potential retroperitoneal pathway for tuberculosis dissemination to the thigh.
Implications:
- This case expands the differential diagnosis for secondary thigh abscesses.
- Awareness of this rare presentation is crucial for timely diagnosis and management of spinal tuberculosis in diabetic patients.