title: Iliopsoas Abscess (together with Bullet) Resulting from a Firearms Injury.
abstract: Psoas abscess, which is a rarely encountered infection, is defined as the accumulation of suppurative fluid within the fascia surrounding the psoas and iliac muscles. It is categorised as being primary or secondary. Although there are reports in the literature of secondary psoas abscess from foreign bodies, to the best of our knowledge, this is the first reported case of psoas abscess developing due to a bullet, following a firearms injury. The patient was first seen in the Emergency Department following a firearms injury in the posterolateral lumbar region and as the neurovascular examination was normal, the patient was discharged after 24 hours of observation. One month later, the patient presented again to the polyclinic with a high temperature and back pain. As a result of physical examination and tests, a diagnosis was made of psoas abscess and percutaneous drainage was applied under ultrasonography guidance. The complaints improved but, 10 days later with an increase in pain and indications of infection, open abscess drainage was applied and the bullet was removed. At the 6-month follow-up examination, the patient had no complaints.
authors.affiliation: Department of Orthopaedics and Traumatology, School of Medicine, Ordu University, Campus of Cumhuriyet, Center, 52200 Ordu, Turkey.
authors.forename: Yunus
authors.initials: Y
authors.lastname: Güzel
authors.affiliation: Department of Orthopaedics and Traumatology, Selçuklu School of Medicine, Selçuk University, Campus of Alaeddin Keykubat, Selçuklu, 42075 Konya, Turkey.
authors.forename: Sadettin
authors.initials: S
authors.lastname: Çiftçi
authors.affiliation: Department of Orthopaedics and Traumatology, Selçuklu School of Medicine, Selçuk University, Campus of Alaeddin Keykubat, Selçuklu, 42075 Konya, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Özdemir
authors.affiliation: Department of Orthopaedics and Traumatology, Selçuklu School of Medicine, Selçuk University, Campus of Alaeddin Keykubat, Selçuklu, 42075 Konya, Turkey.
authors.forename: Mehmet Ali
authors.initials: MA
authors.lastname: Acar