Groin Injury in a Collegiate Football Athlete

Psoas abscess caused by Escherichia coli pyelonephritis, A Case Report

“…The iliopsoas is in close contact with the diaphragm, the kidneys, the renal vessels, the ureter and the sigmoid colon on the left and the caecum and appendix on the right. Due to the proximity of these adjacent structures, the iliopsoas is predisposed to infectious spreading originating from these sites [3] , [4] , [5] …”

“…Although MRI is more sensitive than CT in detecting intra-abdominal abscesses, it is more complex and does not have the advantage to perform a guided percutaneous abscess drainage, as in our patient [3] . In all suspected cases, both blood cultures (positive in 41% to 68% of cases) and abscess aspirates should be obtained, including mycobacterial cultures when M. tuberculosis is suspected or in case of persistent negative cultures [3 , 5] . Positive urine, respiratory or sputum cultures must be considered as indirect indicators of a causative microorganism.…”