Laparoscopic management for a psoas abscess caused by migrated urolithiasis

Area of Science:

• Urology
• Minimally Invasive Surgery
• Surgical Case Reports

Background:

• Psoas abscess is a serious condition often requiring surgical intervention.
• Urolithiasis can lead to stone migration and secondary infections like psoas abscess.
• Minimally invasive techniques are increasingly explored for complex urological issues.

Observation:

• A 64-year-old female presented with back pain and elevated C-reactive protein.
• Computed tomography revealed a migrated renal stone causing a psoas abscess and another stone in the renal parenchyma.
• Initial percutaneous drainage and antibiotics failed, leading to abscess recurrence.

Findings:

• Laparoscopic surgery was performed for simultaneous removal of the migrated stone from the psoas muscle and nephrolithotomy for the renal stone.
• This case represents the first reported instance of managing a psoas abscess secondary to migrated urolithiasis using laparoscopic techniques.
• Successful surgical outcome achieved through minimally invasive intervention.

Implications:

• Laparoscopic surgery is a viable and effective minimally invasive option for treating psoas abscesses caused by migrated urolithiasis.
• This approach may reduce patient morbidity compared to open surgery.
• Highlights the importance of considering urolithiasis as a cause of psoas abscess and the potential for minimally invasive management.