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Updated: Jun 10, 2026
06:02
Posterior Approach for Debridement of the Psoas Abscess
Published on: March 2, 2020
Primary iliopsoas abscess and pregnancy.
David B Nelson1, Dustin B Manders, Stephan A Shivvers
1From the Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Parkland Health and Hospital System, Dallas, Texas.
Obstetrics and Gynecology
|July 29, 2010
Summary
Iliopsoas abscess is a rare pregnancy complication. Early diagnosis and treatment are crucial for high-risk pregnant women experiencing low-back pain.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Radiology
Background:
- Iliopsoas abscesses are uncommon during pregnancy, often arising from adjacent infections.
- Risk factors include intravenous drug use and chronic pain conditions.
Observation:
- A pregnant patient with a history of intravenous heroin use presented with worsening back pain and cutaneous abscesses.
- Imaging revealed a primary iliopsoas abscess with osteomyelitis.
Findings:
- Successful treatment involved percutaneous computed tomography-guided drainage and intravenous antibiotics.
- The patient underwent methadone detoxification and achieved a successful vaginal delivery.
Implications:
- Primary iliopsoas abscess should be considered in pregnant women with low-back pain, especially those with risk factors.
- Vigilant identification and aggressive management are vital for this potentially life-threatening condition.
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