Related Experiment Video

Updated: May 1, 2026

Posterior Approach for Debridement of the Psoas Abscess
06:02

Posterior Approach for Debridement of the Psoas Abscess

Published on: March 2, 2020

11.1K

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
PubMed

Insights

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.

More Related Videos

Author Spotlight: Advancements in Retroperitoneal Approach for Necrotizing Pancreatitis03:42

Author Spotlight: Advancements in Retroperitoneal Approach for Necrotizing Pancreatitis

Published on: March 15, 2024

1.6K
Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion05:30

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion

Published on: February 14, 2025

1.8K

Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
4.4K
Brain Abscess l: Introduction01:26

Brain Abscess l: Introduction

A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial...
21
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
29
Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
1.5K
Muscles of the Abdomen01:21

Muscles of the Abdomen

The abdominal wall encircles the abdominal cavity, providing flexible protection and shielding the internal organs from harm. It is bordered at the top by the xiphoid process and costal margins, at the back by the vertebral column, and at the bottom by the pelvic bones and inguinal ligament. The abdominal wall is divided into two regions — the anterolateral and posterior regions.
Anterolateral Region
The anterolateral region comprises five paired muscles classified into the lateral and...
4.7K
Abdominal Regions and Quadrants01:19

Abdominal Regions and Quadrants

To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
17.3K