Secondary psoas abscess twenty-seven years after nephrectomy.
Abscesses of the psoas muscle are due to a hematogenous dissemination, to the spread of infection from adjacent intestinal structures, to osteomyelitis of the spine or to tuberculous infection of a disc space. In contrast, psoas abscesses related to the urological tract have only been described on exception. The present report focuses on a right psoas abscess which developed 27 years after a nephrectomy. The infectious process resulted from the spread of an acute vesical infection through the residual ureter. Analysis of 4 other cases reported in the literature allows us to delineate the clinical features of psoas abscesses of urological origin.
Guillaume
M P
MP
Department of Internal Medicine, Brugmann University Hospital, Free University of Brussels (ULB), Belgium.
Allé
J L
JL
Cogan
E
E
D000368:Aged; D003556:Cystitis / Q000150:complications* / Q000382:microbiology; D004927:Escherichia coli Infections; D005260:Female; D006801:Humans; D009392:Nephrectomy; D016659:Psoas Abscess / Q000209:etiology* / Q000382:microbiology; D013997:Time Factors; D014513:Ureter / Q000382:microbiology