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Neonatal Iliopsoas Abscess: The First Korean Case
Young-Mi Han1, Ah-Young Kim1, Ryoung-Kyoung Lim1
1Division of Neonatology, Department of Pediatrics, Pusan National University School of Medicine, Yangsan, Korea.
Journal of Korean Medical Science
|August 5, 2015
Summary
Neonatal iliopsoas abscess (IPA) can mimic inguinal hernias. This case highlights the importance of advanced imaging in diagnosing rare neonatal IPA, leading to successful surgical drainage and recovery.
Area of Science:
- Pediatric Surgery
- Neonatal Medicine
- Infectious Diseases
Background:
- Iliopsoas abscess (IPA) is an uncommon condition in neonates.
- Neonatal IPA can present with symptoms that may be mistaken for other conditions, such as inguinal hernias.
Observation:
- A 20-day-old infant presented with inguinal swelling initially suspected as femoral hernia.
- Abdominal CT revealed a multi-septated cystic mass extending from the left kidney to the femur neck.
- The mass was diagnosed as an iliopsoas abscess upon surgical exploration.
Findings:
- Surgical drainage of the iliopsoas abscess was performed.
- Cultures identified Staphylococcus aureus, sensitive to methicillin.
- The infant recovered fully and was discharged on postoperative day 17.
Implications:
- This case underscores the diagnostic challenges of neonatal IPA.
- Advanced imaging like CT is vital for differentiating IPA from other conditions.
- Prompt surgical intervention and antibiotic therapy are key to successful management.
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