title: Iliopsoas abscess: an unexpected sequela of dilation and evacuation.
abstract: OBJECTIVE
  This study aimed to report the case of a patient who developed an iliopsoas abscess after a dilation and evacuation for a midtrimester fetal demise.
  
  
  METHODS
  This is a case report of a 35-year-old woman who underwent a dilation and evacuation at 17 weeks' gestation because of a preterm premature rupture of membranes and fetal demise. Four days later, she presented with fevers, chills, malaise, and right lower back, hip, and thigh pain. Magnetic resonance imaging of the abdomen and pelvis revealed a 2.3 × 1.6-cm right iliopsoas abscess.
  
  
  RESULTS
  The patient underwent computed tomography-guided drainage of the abscess and made an uneventful recovery after completion of an antibiotic course and physical therapy.
  
  
  CONCLUSIONS
  An iliopsoas abscess should be considered in the differential diagnosis of any woman presenting with fevers, chills, and unilateral lower back, hip, and thigh pain in a radicular pattern after a recent dilation and evacuation.
authors.affiliation: Department of Obstetrics and Gynecology, Drexel University College of Medicine, Philadelphia, PA.
authors.forename: Nigel
authors.initials: N
authors.lastname: Pereira
authors.forename: Elise C
authors.initials: EC
authors.lastname: Bardawil
authors.forename: Meghan A
authors.initials: MA
authors.lastname: Patel
authors.forename: Ryan K
authors.initials: RK
authors.lastname: Brannon
authors.forename: Michael L
authors.initials: ML
authors.lastname: Podolsky
authors.forename: Paul
authors.initials: P
authors.lastname: Nyirjesy
mesh_terms: D000328:Adult; D004107:Dilatation and Curettage / Q000009:adverse effects*; D004322:Drainage; D005260:Female; D005322:Premature Rupture of Fetal Membranes / Q000628:therapy*; D006801:Humans; D008279:Magnetic Resonance Imaging; D010388:Pelvis / Q000000981:diagnostic imaging; D011247:Pregnancy; D016659:Psoas Abscess / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D011860:Radiography, Abdominal; D016896:Treatment Outcome