Engelsk titel: Iliopsoas abscess - difficult to suspect, easy to diagnose
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Författare:
Prytz H
;
Blomstrand D
Email: david.blomstrand@lj.se
Språk: Swe
Antal referenser: 19
Dokumenttyp:
Fallbeskrivning
UI-nummer: 09061904
Sammanfattning
A 21 year old man suffering from ileocecal Crohn's disease since 4 years was admitted with history of progressive, right sided hip and leg pain for 6 months. Extensive, retroperitoneal abscesses, extending into the gluteal and paravertebral muscles were visualized. The patient was treated by intravenous antibiotics and percutaneous drainage. Later, ileocecal resection was performed. Most likely, the psoas abscess arose from a penetrating ulceration in the diseased ileocecal area. Psoas abscess, also called iliopsoas abscess (IPA), is an infrequent disease, which is usually not suspected initially. When suspected, computed tomography should be performed. IPA is treated primarily by intravenous broad spectrum antibiotics and percutaneous drainage.