The sore Psoas: A difficult diagnosis in childhood

The conservative management of acute pyogenic iliopsoas abscess in children

“…[1][2][3][4][5] The diagnosis is based on clinical laboratory and radiological findings. The clinical presentation is very variable and can include pain or a mass in the iliac fossa or central abdomen, pain and flexion deformity of the hip, limp and fever.…”

“…1,2 The clinical presentation is variable and may be confused with other conditions such as septic arthritis of the hip, osteomyelitis or an appendicular abscess. 3 A high index of suspicion and awareness of the varying clinical presentation are required to diagnose this condition promptly.…”

Diagnosis of Iliopsoas Pyomyositis by Ultrasonography and CT

“…Whether the infections are primary or secondary, pyomyositis of the iliopsoas muscle in children is relatively rare in temperate regions and is not usually considered as an initial diagnosis in many reported cases [1][2][3]7]. The differential diagnosis includes pelvic osteomyelitis, septic arthritis of the hip, lymphadenitis, and other local infections "1-31.…”

“…Laboratory studies also often fail to provide specific information. Therefore, the early diagnosis is often difficult [2,4]. Once an abscess has formed, surgical drainage is necessary [5].…”

Ilio-psoas abscess: diagnosis and management

“…Also, the nature of the ilio-psoas abscess varies with age. An ilio-psoas abscess in the majority of young patients is primary [1,[4][5][6]. The organism most frequently cultured is S. aureus.…”