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Updated: Jun 27, 2026
06:02
Posterior Approach for Debridement of the Psoas Abscess
Published on: March 2, 2020
[Primary psoas abscess in a young healthy male]
Damoun Nassehi1, Henrik Galbo, Flemming Skovsgaard
1Neurokirurgisk Klinik, Rigshospitalet, DK-2100 København Ø. damoun@live.dk
Ugeskrift for Laeger
|December 18, 2008
Summary
A rare primary psoas abscess, often seen in young men, presents with fever, back pain, and limpness. Diagnosis typically involves computed tomography, with treatment including antibiotics and potential drainage.
Area of Science:
- Medical diagnostics
- Infectious diseases
- Surgical pathology
Background:
- Psoas abscesses are classified as primary or secondary.
- Primary psoas abscess is uncommon in Europe and North America.
- This condition predominantly affects young males.
Observation:
- A young male presented with lower back pain, limpness, night sweats, low-grade fever, and weight loss.
- Diagnostic workup confirmed a primary psoas abscess.
Findings:
- The classical triad for primary psoas abscess includes fever, back pain, and limpness.
- Computed tomography is the gold standard for diagnosis.
- Treatment typically involves antibiotics and may include percutaneous drainage.
Implications:
- Early recognition of primary psoas abscess is crucial for timely diagnosis and management.
- Understanding the rare presentation of psoas abscess aids in clinical decision-making.
- This case highlights the importance of considering rare diagnoses in patients with persistent symptoms.
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