Iliopsoas tuberculous abscess associated with cervical and axillary tuberculous lymphadenopathy

Latsios, Dimitrios; Chloros, Diamantis; Spyratos, Dionisios; Dagdilelis, Loukas; Sichletidis, Lazaros

doi:10.1136/bcr.03.2011.4037

Cited by 2 publications

(2 citation statements)

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“…Secondary psoas abscess originates from perforated intestinal organs such as perforation in diverticulitis [ 2 ], perforated appendicitis [ 3 ] or perforation secondary to colon cancer [ 2 , 4 ]. Other causes include direct spread of inflammation seen in pyelonephritis or spondylodiscitis [ 5 ] with the latter being the most frequent cause of abscedation. Consequently bacteria from the intestinal gram-negative flora such as escherichia coli, enterobacter, clostridia and bacteroides can be found [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Psoas abscess secondary to retroperitoneal distant metastases from squamous cell carcinoma of the cervix with thrombosis of the inferior vena cava and duodenal infiltration treated by Whipple procedure: A case report and review of the literature

et al. 2016

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BackgroundPsoas abscess is a rare clinical disease of various origins. Most common causes include hematogenous spread of bacteria from a different primary source, spondylodiscitis or perforated intestinal organs. But rarely some abscesses are related to malignant metastatic disease.Case presentationIn this case report we present the case of a patient with known squamous cell carcinoma of the cervix treated with radio-chemotherapy three years prior. She now presented with a psoas abscess and subsequent complete inferior vena cava thrombosis, as well as duodenal and vertebral infiltration. The abscess was drained over a prolonged period of time and later was found to be a complication caused by metastases of the cervical carcinoma. Due to the massive extent of the metastases a Whipple procedure was performed to successfully control the local progress of the metastasis.ConclusionAs psoas abscess is an unspecific disease which presents with non-specific symptoms adequate therapy may be delayed due to lack of early diagnostic results. This case report highlights the difficulties of managing a malignant abscess and demonstrates some diagnostic pitfalls that might be encountered. It stresses the necessity of adequate diagnostics to initiate successful therapy. Reports on psoas abscesses that are related to cervix carcinoma are scarce, probably due to the rarity of this event, and are limited to very few case reports. We are the first to report a case in which an extensive and complex abdominal procedure was needed for local control to improve quality of life.

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Section: Introductionmentioning

confidence: 99%

“…Consequently bacteria from the intestinal gram-negative flora such as escherichia coli, enterobacter, clostridia and bacteroides can be found [ 6 ]. In the case of spinal infection, staphylococcus aureus and mycobacterium tuberculosis are the pathogens mostly found in the abscess [ 5 ].…”

Section: Introductionmentioning

confidence: 99%