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A case of a recurrent iliopsoas abscess masking a complicated appendicitis successfully treated by a laparoscopic

Sae Byeol Choi1, Hyung Joon Han, Wan Bae Kim

  • 1Department of Surgery, Korea University College of Medicine, Seoul, Korea. sschoikorea@gmail.com

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|April 16, 2010
PubMed

Insights

Recurrent iliopsoas abscesses in a 73-year-old man were successfully treated with laparoscopic drainage and appendectomy. This approach resolved the fourth episode, caused by perforated appendicitis, highlighting minimally invasive options for complex cases.

Area of Science:

  • Gastroenterology and Surgery
  • Infectious Diseases

Background:

  • Iliopsoas abscesses can arise from adjacent bowel infections.
  • Perforated appendicitis can lead to severe retroperitoneal abscesses.

Observation:

  • A 73-year-old male presented with a history of recurrent right iliopsoas abscesses over six years.
  • Previous treatments included percutaneous catheter drainage, operative drainage, and antibiotics.

Findings:

  • The fourth episode of iliopsoas abscess was diagnosed as originating from perforated appendicitis.
  • Laparoscopic exploration confirmed the appendiceal source.
  • Laparoscopic appendectomy and abscess drainage were performed successfully.

Implications:

  • Laparoscopic surgery offers a minimally invasive approach for managing complex iliopsoas abscesses secondary to appendicitis.
  • This case highlights the importance of investigating recurrent abscesses for underlying gastrointestinal pathology.
  • Effective management can prevent further recurrence and complications.

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