Retroperitoneal iliac abscess with periostitis

En, Faerber; Jc, Leonidas; Leape, L L

doi:10.2214/ajr.136.4.828

Cited by 8 publications

(6 citation statements)

References 9 publications

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“…14,15 Other known causes of retroperitoneal or psoas abscess include osteomyelitis, 16 seeding of posttraumatic pelvic hematomas, 17 postradiation, 18 perforated appendicitis, 19-21 toothpick perforations, 22 and cryptogenic and iatrogenic factors. [23][24][25][26][27] The incidence of the association with psoas abscess in patients with Crohn's disease is reported to range from 2.7% to 10.0%. 7,28,29 A large series of patients with psoas abscesses at Mayo Clinic demonstrated that only 2 (4.7%) of 43 cases were caused by colorectal carcinoma.…”

Section: Discussionmentioning

confidence: 99%

Psoas abscess and cellulitis of the right gluteal region resulting from carcinoma of the cecum

Kobayashi

Sakurai

Shoji

et al. 2001

Journal of Gastroenterology

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Although retroperitoneal or psoas abscess is an unusual clinical problem, the insidious and occult characteristics of this abscess sometimes cause diagnostic delays, resulting in considerably high morbidity and mortality. In particular, psoas abscess caused by perforated colon carcinoma is uncommon. We report a case of psoas abscess caused by a carcinoma of the cecum. A 72-year-old Japanese woman was admitted to our hospital, with pain in the right groin and buttock. The pain had appeared 6 months before admission, and the symptoms had then been relieved by oral antibiotics. On March 25, 1999, inflammatory signs in the right buttock indicated localized cellulitis, and incision and drainage was performed at a local hospital. The patient was referred to our hospital on the same day. On admission to our hospital, computed tomography (CT) scan revealed a thick right-sided colonic wall and enlargement of the right ileopsoas muscle. Barium enema and colonofiberscopy revealed an ulcerated tumor occupying the entire circumference of the cecum. A retroperitoneal abscess and fistula had been formed by the retroperitoneal perforation of cecum carcinoma: surgical resection was performed after remission of the local inflammatory signs. Operative findings indicated that the cancerous lesion and its surrounding tissues were firmly attached to the right iliopsoas and major psoas muscle, and en-bloc resection, including adjacent muscular tissue, was performed. The fact that carcinoma of the colon could be a cause of psoas abscess and cellulitis in the gluteal region should be considered when an unexplained psoas abscess is diagnosed.

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Section: Discussionmentioning

confidence: 99%

Psoas abscess and cellulitis of the right gluteal region resulting from carcinoma of the cecum

Kobayashi

Sakurai

Shoji

et al. 2001

Journal of Gastroenterology

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“…Infection is usually bloodborne [15,17], but suppuration of the iliac lymph nodes is another cause [2,4,12,23]. More recently it has been suggested that trauma may be a contributing factor [20].…”

Section: Discussionmentioning

confidence: 99%

Retrofascial nontuberculous psoas abscess

Sadat-Ali

Al-Habdan

Ahlberg

1995

International Orthopaedics

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Psoas abscess is usually associated with tuberculous spondylitis, but also occurs in relation to inflammatory bowel disease. We present 17 cases of primary pyogenic psoas abscess seen during a 10 year period at the King Fahd Hospital, Al-Khobar. There were 13 males and 4 females with a mean age of 24.9 years (range one to 55 years). Five patients had sickle cell disease. The average delay in presentation was 4.5 weeks (range 2 to 9 weeks). Pyrexia and a painful hip with a flexion deformity were the most obvious signs. The sedimentation rate and white cell count were markedly raised in every case. Staphylococci were cultured in 10 and anaerobic streptococci, salmonella and E coli in 2 each. Ultrasonography, CT and MR imaging were used to confirm the diagnosis. Early recognition and drainage are important to ensure a rapid recovery.

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“…(1961), andHardcastel (1970), and as a nonspinal pyogenic psoas abscess by Sworn (1933), Lam (1966. Maull (1974), Oliff (1978), andFaerber et al (1981) described it as a retroperitoneal iliac fossa abscess. Siddiqui (1983) preferred the term iliacus abscess.…”

Section: Discussionmentioning

confidence: 99%

“…Various explanations concerning the etiology have been suggested: suppuration of lymph glands (Bailey 1930, Rockwood et al 1961, Maull 1974, Faerber et al 1981, trauma (Kark 1961, Siddiqui 1983, gastrointestinal perforations (Hardcastle 1970), and hematogenous spread (Sworn 1933).…”

Section: Discussionmentioning

confidence: 99%