Psoas muscle abscess simulating acute appendicits: A case report

Miller, Eugenio L.C.; Miller, Luiz F.F.; Carvalho, Jorge G.; Marsillac, Alexandre; Pires, Lucas Alves Sarmento; Babinski, Márcio Antônio; Monteiro, Mauro

doi:10.1016/j.ijscr.2016.06.019

Cited by 7 publications

(12 citation statements)

References 11 publications

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“…[5][6][7]9,11,13 CT is the imaging mode of choice for IPA detection. [4][5][6]9,11,16 In Tabrizian et al, 89% (54 of 61) of patients were diagnosed by CT. 6 Wong et al, reported that, in 95% (40/42) of all cases, IPAs were diagnosed via CT. 9 Taiwo et al, considered CT to be the diagnostic mode of choice; the sensitivity approached 100%, consistent with our findings . 16 Mueller et al, were the first to use PCD to treat an IPA, in 1984.…”

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confidence: 99%

Iliopsoas abscess: clinical presentation, management, and outcome

et al. 2018

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Background: The aim of this study was to review our experience with iliopsoas abscesses (IPAs) and evaluate the various drainage procedures.Methods: All consecutive patients with an IPA admitted to three university hospitals between September 2008 and June 2017 were retrospectively included.Results: Of the 26 patients, 17 (65.4%) were male and nine (34.6%) were female, with an average age of 30.7 (17-58) years. Fifteen (57.7%) cases had primary IPAs and Staphylococcus spp. was the most common isolate. Eleven (42.3%) cases had secondary IPAs, and spinal tuberculosis was the most common underlying condition. Lower-back or flank pain was the most common presentation (69.2%). Computed tomography (CT) scans confirmed all clinical diagnoses. All patients were managed via drainage and antibiotic therapy; seven (26.9%) were subjected to open surgical drainage and 19 (73.1%) received percutaneous drainage (PCD) under ultrasound (US) guidance. The average hospital stay was 9.5 days (range 5-18 days). The hospital stay was significantly shorter in patients treated via PCD compared to those who received open drainage: 8.5 days (range 5-14 days) vs. 12.1 days (range 6-18 days), respectively (p = 0.031). The overall recurrence rate was 11.5% (3/26). Recurrence developed in three patients treated via US-guided PCD and all were successfully treated via a second round of PCD. No mortality was recorded.Conclusions: US-guided PCD combined with appropriate antibiotic therapy is safe and effective with shorter hospital stay when used to treat IPAs. Open surgical drainage may be warranted if the IPA is multiloculated or if there is an underlying pathology.

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confidence: 99%

Iliopsoas abscess: clinical presentation, management, and outcome

et al. 2018

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“…Akut apandisit, divertikülit, Crohn hastalığı, kolorektal karsinom ve rektal travma gibi bazı durumlar sekonder iliopsoas absesine neden olabilir (6). Günümüzde primer iliopsoas absesi ise özellikle immün yetmezliği (AIDS, alkolikler), Diabetes Mellitus, ileri yaşlı, Pott hastalığı olan hastalarda teşhis edilmektedir ve en sık görülen ana patojen etken Staphylococcus aureus' dur (7,8). Primer iliopsoas apsesi hastalarında uygun tedavi ile daha iyi prognoz göstermekle beraber mortalite %2,5-18,9 civarında bildirilmiştir (8).…”

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“…Günümüzde primer iliopsoas absesi ise özellikle immün yetmezliği (AIDS, alkolikler), Diabetes Mellitus, ileri yaşlı, Pott hastalığı olan hastalarda teşhis edilmektedir ve en sık görülen ana patojen etken Staphylococcus aureus' dur (7,8). Primer iliopsoas apsesi hastalarında uygun tedavi ile daha iyi prognoz göstermekle beraber mortalite %2,5-18,9 civarında bildirilmiştir (8). İliopsoas apselerinin gastrointestinal sistemden kaynaklı etyolojik nedenleri arasında 1. sırada Crohn hastalığı (%60) 2. sırada ise apandisit (%16) gelir (2).…”

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İliopsoas Apsesi ile Prezente Olan Retroçekal Perfore Apandisit: Vaka Sunumu

Çeti̇n

Ekici

Yıldırım

et al. 2021

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi

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Intraabdominal abscess formation complicating perforated acute appendicitis are well known. However, localization of these abscesses to the iliopsoas muscle is rare and its diagnosis and treatment is usually problematic and delayed. In this article, we present a 59-year-old patient who was hospitalized with the complaint of right inguinal and lumbar pain, which has been going on for 10 days. Percutaneous abscess drainage failed after the diagnosis of iliopsoas abscess by abdominal tomography and MRI. Subsequently, the patient developed acute abdomen; He was diagnosed with retrocecal appendicitis on ultrasonography. Emergency laparotomy and retroperitoneal abscess drainage was performed. Perforated retrocecal appendicitis can sometimes occur with retroperitoneal abscess without causing abdominal pain. Therefore, in patients with symptoms suggestive of retroperitoneal infection, it is necessary to seriously suspect perforated appendicitis.

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“…There is usually associated leucocytosis and an ultrasound may show fluid collection in the right iliac fossa. 9 An appendicular mass is most commonly associated with acute inflammation, however a small percentage may also be malignant. 10 There are two distinct types of AA, obstructive and catarrhal.…”

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confidence: 99%

Early versus delayed appendectomy for uncomplicated acute appendicitis.

Javed¹,

Saleem²,

Rehman³

et al. 2020

TPMJ

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Study Design: Sectional study. Setting: Madina Teaching Hospital Faisalabad. Period: July 2018 to June 2019. Material & Methods: A sample of 107 patients was selected using non-probability purposive sampling out of all the patients presenting with acute appendicitis. Study population was divided into Groups A and B, former undergoing appendectomy within 8 hours of admission and later undergoing surgery more than 8 hours after admission. Spinal and general anesthesia was used and both Laparoscopic and open surgical techniques were employed. Results: Out of total 107 patients, 62 (57.94%)were placed in group A and 45 (42.06%) in group B. Age and gender related distribution in both groups were similar. 5 patients in group A had perforated appendix and 3 patients in Group B were found to have perforated appendix. The difference between incidence of perforation between the two groups was not statistically significant. Conclusion: in-hospital delay before appendectomy does not significantly increase the risk of perforation in uncomplicated acute appendicitis.

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Psoas muscle abscess simulating acute appendicits: A case report

Cited by 7 publications

References 11 publications

Iliopsoas abscess: clinical presentation, management, and outcome

Iliopsoas abscess: clinical presentation, management, and outcome

İliopsoas Apsesi ile Prezente Olan Retroçekal Perfore Apandisit: Vaka Sunumu

Early versus delayed appendectomy for uncomplicated acute appendicitis.

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