[Space-occupying lesions in the iliopsoas space: a challenge in the Department of Internal Medicine].
Mass lesions in the iliopsoas compartment (MLIPC) are uncommon in patients in departments of medicine and their incidence and etiologies are unclear. In a prospective study we diagnosed various MLIPCs in 7 patients during a 10-year period, representing 0.03% of admissions. Symptoms included abdominal or flank pain (4 cases), pain along the thigh (5), diminished psoas muscle strength (2), fever (2), and hypotension (1). MLIPC was suspected on clinical grounds in 5 cases. In all cases the diagnosis was established by computed tomography (CT). Tissue was sampled by needle biopsy in 4 and on surgery in 1. MLIPCs were caused by hemorrhage (2), infection (2), neoplasia (2) and inflammatory mass (1). Often MLIPCs are life-threatening so their timely diagnosis by early CT scan is important.
Dept. of Medicine, Bnai Zion Medical Center, Haifa.
I
I
Tsikonova
J E
JE
Naschitz
S
S
Croitoru
E
E
Barmeir
D
D
Yeshurun
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001707:Biopsy, Needle; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis; D006801:Humans; D007085:Ilium; D008297:Male; D008875:Middle Aged; D019042:Muscle Neoplasms / Q000175:diagnosis; D009135:Muscular Diseases / Q000000981:diagnostic imaging / Q000473:pathology* / Q000503:physiopathology; D016658:Psoas Muscles / Q000000981:diagnostic imaging / Q000473:pathology* / Q000503:physiopathology; D014057:Tomography, X-Ray Computed