A case of a recurrent iliopsoas abscess masking a complicated appendicitis successfully treated by a laparoscopic approach.
Iliopsoas abscesses can be caused by a secondary adjacent infectious source in the bowel. Complicated retroperitoneal abscesses involving the iliopsoas muscle and the lateral abdominal wall can develop as a serious complication of a perforated acute appendicitis. A 73-year-old man with a history of recurrent iliopsoas abscess was referred to our clinic. He had earlier been treated for recurrent right iliopsoas abscess by a percutaneous catheter and operative drainage and antibiotics in another hospital 3 times for 6 years at 2 or 3 year intervals. At the fourth episode, the abscess was proven to be caused by perforated appendicitis on laparoscopic exploration. The main drainage procedure of the abscess, as well as the appendectomy, was performed through a laparoscopic approach.
Choi
Sae Byeol
SB
Department of Surgery, Korea University College of Medicine, Seoul, Korea. sschoikorea@gmail.com
Han
Hyung Joon
HJ
Kim
Wan Bae
WB
Song
Tae-Jin
TJ
Choi
Sang Yong
SY
D000368:Aged; D001062:Appendectomy; D001064:Appendicitis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D010535:Laparoscopy; D008297:Male; D016659:Psoas Abscess / Q000209:etiology* / Q000601:surgery; D012008:Recurrence