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Secondary psoas abscess twenty-seven years after nephrectomy
M P Guillaume1, J L Allé, E Cogan
1Department of Internal Medicine, Brugmann University Hospital, Free University of Brussels (ULB), Belgium.
European Urology
|January 1, 1994
Summary
Psoas abscesses originating from the urinary tract are rare, often linked to residual ureters after nephrectomy. This case highlights a delayed infection 27 years post-surgery, emphasizing urological origins.
Area of Science:
- Urology
- Infectious Diseases
- Surgical Pathology
Background:
- Psoas abscesses typically arise from spinal, intestinal, or hematogenous sources.
- Urological origins for psoas abscesses are exceptionally rare in medical literature.
Observation:
- A rare case of a right psoas abscess occurred 27 years after a patient underwent a nephrectomy.
- The infection stemmed from an acute bladder infection spreading through the remaining ureter.
Findings:
- This report details a unique instance of a psoas abscess developing decades after a nephrectomy.
- Analysis of this and four other reported cases helps define the clinical presentation of urological psoas abscesses.
Implications:
- Highlights the potential for delayed urological infections presenting as psoas abscesses long after kidney removal.
- Underscores the importance of considering urological origins in atypical psoas abscess presentations.
- Contributes to understanding rare infectious complications following urinary tract surgery.