title: Psoas abscess and severe fasciitis due to a caecal carcinoma.
abstract: A man in his mid-50s presented with a painful and swollen right thigh and buttock. This was accompanied by a month long history of flank pain, back pain, vague abdominal pain, limp, fever and weight loss. On examination, there was extensive erythaema, heat, tenderness, oedema and crepitus over his right buttock and thigh. The patient was referred to plastic surgery to exclude necrotising fasciitis of the gluteal and thigh region. After CT imaging, a psoas abscess (PA) and caecal mass were identified. Subsequent right hemicolectomy, PA drainage and debridement of his right thigh were performed. This case reminds clinicians of the many non-specific ways a PA can present and that a high level of suspicion assists in making a timely diagnosis.
authors: University of Aberdeen, Aberdeen, UK.
authors: Nigel Yong Boon
authors: NY
authors: Ng
authors: University of Aberdeen, Aberdeen, UK.
authors: Mark
authors: M
authors: Twoon
authors: Plastic Surgery Department, Aberdeen Royal Infirmary, Aberdeen, UK.
authors: Suzanne E
authors: SE
authors: Thomson
mesh_terms: D000230:Adenocarcinoma / Q000150:complications* / Q000175:diagnosis; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002430:Cecal Neoplasms / Q000150:complications* / Q000175:diagnosis; D003646:Debridement; D004322:Drainage; D004927:Escherichia coli Infections / Q000150:complications*; D019115:Fasciitis, Necrotizing / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016659:Psoas Abscess / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D011859:Radiography
chemical_list: D000900:Anti-Bacterial Agents
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