Abnormal syndrome of iliac osteomyelitis presenting as acute appendicitis.
A case of right iliac osteomyelitis initially misdiagnosed and treated as acute appendicitis is reported. Deep-seated right lower quadrant pain persisted and a gluteal abscess appeared in the immediate post-operative period. The gluteal abscess was incised and it continued to discharge pus until appropriate diagnosis and treatment was instituted. Pain due to iliac osteomyelitis is deep-seated and may radiate to the thighs or lumbar region. Compression and distraction of the pelvis elicits pain in the affected ilium.
Ofiaeli
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Division of Orthopaedics and Traumatology, University Teaching Hospital, Nnewi, Anambra State, Nigeria.
D015746:Abdominal Pain / Q000209:etiology*; D000293:Adolescent; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D007085:Ilium; D010019:Osteomyelitis / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D011859:Radiography