Non-tuberculous iliopsoas abscess due to perforated diverticulitis presenting with intestinal obstruction and a groin mass.
Psoas abscess is an uncommon condition and, contrary to traditional teaching, tends to be of non-tuberculous aetiology in developed countries. Diagnosis can be delayed since presenting features are non-specific and in many instances misleading, necessitating a high degree of clinical suspicion and early resort to cross-sectional imaging using CT or MRI. We present a case of iliopsoas abscess secondary to perforated diverticulitis to illustrate the difficulty encountered in early diagnosis and to show that successful management of secondary psoas abscess necessitates surgical resection of the underlying condition in most cases.
Kaul
V
V
Department of Surgery, Worthing and Southlands Hospital, Worthing, West Sussex BN11 2DH, UK.
Jackson
M
M
Farrugia
M
M
D000368:Aged; D003937:Diagnosis, Differential; D004241:Diverticulum, Colon / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006119:Groin / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D016659:Psoas Abscess / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed