A case of primary psoas abscess presenting as buttock abscess.
Buttock abscess is a rare clinical manifestation from unusual extrapelvic extension of psoas abscess. A 48-year-old woman presented with painful swelling of the buttock with a sense of local heat. Magnetic resonance imaging revealed a large subfascial abscess over the glutei muscles and was traced into the intraabdominal cavity over the iliac wing to the psoas muscle. Both the psoas abscess and the buttock abscess were evacuated via separate approaches. Empirical antibiotic therapy was delivered for 3 weeks. After 6 months, no evidence of recurrence was found. Psoas abscess could be included in the differential diagnosis of buttock abscess.
Yoo
Jae Ho
JH
Department of Orthopaedic Surgery, Soonchunhyang University Hospital, Bucheon, Gyeonggi-do, 420-767, South Korea. yoojaeho@hotmail.com
Kim
Eung Ha
EH
Song
Hyun Seok
HS
Cha
Jang Gyu
JG
D002081:Buttocks / Q000473:pathology* / Q000601:surgery; D003937:Diagnosis, Differential; D004487:Edema / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D016659:Psoas Abscess / Q000150:complications / Q000473:pathology* / Q000601:surgery; D016658:Psoas Muscles / Q000473:pathology* / Q000601:surgery