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Recurrent psoas abscess.

S J Sherman, J Stern, P Neufeld

    Postgraduate Medicine
    |March 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Recurrence of a psoas abscess is rare. This case highlights appendiceal diverticulitis and an impacted calculus as a cause, suggesting limitations of percutaneous drainage for complex abscesses.

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    Area of Science:

    • Gastroenterology
    • Surgical Pathology
    • Medical Imaging

    Background:

    • Psoas abscesses are uncommon infections typically requiring prompt diagnosis and treatment.
    • Recurrent abscesses in the same anatomical location are exceptionally rare, posing diagnostic and therapeutic challenges.

    Observation:

    • A patient presented with a second psoas abscess in the identical location.
    • Surgical exploration revealed an impacted calculus and diverticulitis of the appendix as the underlying cause.
    • Computed tomography (CT) accurately diagnosed the abscess and identified the etiology.

    Findings:

    • Appendiceal diverticulitis and an impacted calculus were identified as the cause of recurrent psoas abscess.
    • Percutaneous drainage proved insufficient for managing this specific recurrent abscess.

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  • Laparotomy was necessary for definitive diagnosis and treatment.

    • Implications:

    • This case underscores the importance of investigating unusual causes for recurrent psoas abscesses, including distal gastrointestinal pathology.
    • The findings suggest that while CT is valuable for diagnosis, the optimal treatment strategy for recurrent psoas abscesses may require surgical intervention.
    • Further research is needed to establish best practices for managing complex and recurrent psoas abscesses.