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A case report on postpartum psoas abscess: A rare complication of caesarean delivery

Stuart Quek1, Maria Mouyis1

  • 1Bedfordshire Hospitals NHS Foundation Trust, Bedfordshire, UK.

Obstetric Medicine
|February 2, 2026
PubMed

Insights

Psoas abscess, a rare condition, can occur after caesarean section. Early diagnosis and management are crucial due to its nonspecific presentation.

Area of Science:

  • Medical Case Study
  • Infectious Diseases
  • Surgical Complications

Background:

  • Psoas abscess is a rare condition involving fluid collection in the psoas muscle.
  • It is classified as primary (e.g., Staphylococcus aureus infection) or secondary (e.g., extension from vertebral or pelvic inflammation).
  • Psoas abscess following caesarean section is exceptionally uncommon.

Purpose of the Study:

  • To report a rare case of psoas abscess secondary to caesarean section.
  • To discuss the diagnostic challenges and management strategies for this condition.
  • To emphasize the importance of considering psoas abscess in the differential diagnosis.

Main Methods:

  • Case report detailing a patient with psoas abscess post-caesarean section.
  • Review of clinical presentation, diagnostic workup (imaging, microbiology).
  • Description of the management approach and patient outcome.

Main Results:

  • A case of psoas abscess successfully diagnosed and managed after caesarean section is presented.
  • The patient's presentation was nonspecific, highlighting diagnostic difficulties.
  • Successful treatment involved appropriate medical and/or surgical intervention.

Conclusions:

  • Psoas abscess is an uncommon but potential complication of caesarean section.
  • Nonspecific symptoms necessitate a high index of suspicion for diagnosis.
  • Prompt recognition and management are vital for favorable patient outcomes.
Keywords:
Psoas abscesscaesarean sectioninfectionpostpartumrare complication

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