title: Right-sided colonic tuberculosis: a rare cause of ilio-psoas abscess.
abstract: Ilio-psoas abscess due to right colon origin is rare and normally occurs secondary to Crohn's disease, diverticulitis or cancer. We report a case of a caecal tuberculosis (TB) presented initially with an appendicular mass and systemic symptoms of fever and fatigue and 3 weeks after, with right-sided anterior thigh pain and found to have an ilio-psoas abscess. Colonoscopy and histology confirmed the diagnosis of caecal-TB. She had a CT drainage of the abscess and was discharged with anti-TB treatment and her drain in situ. Repeat pelvic MRI 10 days after treatment showed the abscess resolving and her systemic symptoms improving.
authors.affiliation: North Middlesex University Hospital, Department of Emergency Medicine, London, UK. gdemcy@hotmail.com
authors.forename: George A
authors.initials: GA
authors.lastname: Demetriou
authors.forename: Manojkumar S
authors.initials: MS
authors.lastname: Nair
authors.forename: Romi
authors.initials: R
authors.lastname: Navaratnam
mesh_terms: D003108:Colonic Diseases / Q000382:microbiology*; D003113:Colonoscopy; D003937:Diagnosis, Differential; D004322:Drainage; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D016659:Psoas Abscess / Q000382:microbiology* / Q000601:surgery*; D015641:Radiography, Interventional; D014057:Tomography, X-Ray Computed; D014385:Tuberculosis, Gastrointestinal / Q000150:complications* / Q000175:diagnosis*; D055815:Young Adult