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Updated: May 1, 2026
06:02
Posterior Approach for Debridement of the Psoas Abscess
Published on: March 2, 2020
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Iliopsoas abscess in an infant.
Hiroki Ishibashi1, Takehito Oshio, Tomoko Sogami
1Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital.
The Journal of Medical Investigation : JMI
|April 8, 2014
Summary
Iliopsoas abscess (IPA) is rare in infants, often presenting as leg swelling. Early diagnosis and drainage, as seen in this case following an umbilical granuloma, are crucial for recovery.
Area of Science:
- Pediatrics
- Infectious Diseases
- Surgical Case Reports
Background:
- Iliopsoas abscess (IPA) is an uncommon condition in pediatric patients, particularly rare in neonates and infants.
- Umbilical granulomas can be a potential, albeit rare, precursor to serious infections in infants.
Observation:
- A two-month-old infant presented with right leg and groin swelling, limited mobility, and discomfort, with a history of umbilical granuloma.
- Clinical presentation included mild bluish discoloration of the affected limb without fever.
Findings:
- Imaging studies (ultrasonography and computed tomography) confirmed an iliopsoas abscess in the right iliopsoas muscle.
- Cultures of the aspirated pus identified Staphylococcus aureus as the causative pathogen.
Implications:
- This case highlights the importance of considering iliopsoas abscess in the differential diagnosis of infants presenting with leg swelling and reduced mobility.
- Prompt diagnosis through imaging and appropriate management, including surgical drainage and antibiotic therapy, led to a favorable outcome and full recovery of leg function.
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