Appendicular Sinus as a Cause of Chronic Psoas Abscess in a Renal Transplant Recipient: A Case Report

Area of Science:

• Infectious Diseases
• Nephrology
• Surgical Management

Background:

• Psoas abscesses present with vague symptoms and can lead to life-threatening suppurative myositis.
• Immunocompromised patients, especially those with solid-organ transplants, face increased risks of developing chronic or suppurative abscesses.
• Renal transplant recipients often have comorbidities, including impaired renal function, that complicate abscess management.

Observation:

• A 61-year-old male renal transplant recipient developed a chronic psoas abscess linked to an appendicular sinus.
• The condition necessitated serial computed tomographic-guided drainages over an 8-year period.
• The case highlights the challenges and limitations in managing complex psoas abscesses.

Findings:

• A conservative management strategy was employed for the chronic psoas abscess.
• This approach was associated with sustained good patient health and graft function.
• Minimal patient risk was observed during the extended management period.

Implications:

• Conservative management of chronic psoas abscesses in renal transplant patients may be a viable long-term strategy.
• This approach can potentially preserve patient and graft outcomes while minimizing procedural risks.
• Further research into optimal conservative techniques for complex psoas abscesses is warranted.