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Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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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...
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Abdominal Regions and Quadrants01:19

Abdominal Regions and Quadrants

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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...
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Muscles of the Abdomen01:21

Muscles of the Abdomen

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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...
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Muscles that Move the Thigh01:20

Muscles that Move the Thigh

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The thigh's motion is primarily governed by muscles originating in the pelvic girdle and inserted into the femur. One crucial muscle, the iliopsoas, is a combination of the psoas major and the iliacus muscles, sharing a common insertion point on the lesser trochanter of the femur.
Three other significant muscles are the gluteus maximus, gluteus medius, and gluteus minimus. The gluteus maximus originates from the posterior surface of the ilium, sacrum, and coccyx, and the thoracolumbar...
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Related Experiment Video

Updated: Nov 15, 2025

Posterior Approach for Debridement of the Psoas Abscess
06:02

Posterior Approach for Debridement of the Psoas Abscess

Published on: March 2, 2020

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Iliopsoas Abscess.

Bader Sobaih1, Loay Sobaih2, Fahad Al Zamil3

  • 1Bader Sobaih, Department of Pediatrics, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Pakistan Journal of Medical Sciences
|March 8, 2021
PubMed
Summary

Iliopsoas abscess (IPA) is rare in children and often presents with vague symptoms. Early diagnosis of pediatric iliopsoas abscess is crucial and can be achieved with imaging like CT scans.

Keywords:
CT ScanIliopsoas abscessLimping

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Area of Science:

  • Pediatric infectious diseases
  • Abdominal imaging in children
  • Surgical management of pediatric abscesses

Background:

  • Iliopsoas abscess (IPA) is an uncommon condition in children, often presenting with nonspecific signs and symptoms, which can delay diagnosis.
  • The classical clinical triad for IPA (fever, back pain, inguinal pain) is infrequently observed in pediatric cases.
  • Abdominal computed tomography (CT) is a primary diagnostic tool for IPA.

Observation:

  • A Saudi child presented with nonspecific symptoms including fever, flank pain, and limping.
  • Diagnosis of iliopsoas abscess was confirmed using abdominal ultrasound and CT scan.
  • The patient exhibited atypical symptoms, highlighting diagnostic challenges in pediatric IPA.

Findings:

  • Nonspecific signs and symptoms in children can mask the diagnosis of iliopsoas abscess.
  • Combined use of ultrasound and CT scan effectively diagnosed the pediatric IPA case.
  • Prompt diagnosis is essential for effective management of pediatric iliopsoas abscess.

Implications:

  • This case underscores the importance of considering IPA in pediatric patients with vague abdominal or back pain and limping.
  • Advanced imaging modalities like CT are vital for timely diagnosis of pediatric iliopsoas abscess.
  • Effective management involves a combination of antibiotics and abscess drainage, as demonstrated in this case.