Psoas (or iliopsoas) abscess is a collection of pus in the iliopsoas muscle compartment [1]. It may arise via contiguous spread from adjacent. Introducción y objetivos. Aportar a la literatura un nuevo caso de absceso primario de Psoas, con afectación también del Cuadrado Lumbar. Absceso del psoas como causa de dolor lumbar detectado mediante gammagrafía con galio en un paciente con sospecha de espondilodiscitisPsoas abscess.

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Secondary psoas abscess occurs as a consequence of direct extension of an adjacent infection, as happened with our patient. The patient was referred to the pain clinic, and, due to the suspicion of neuropathic pain secondary to peripheral vascular insufficiency, it was proposed a treatment that consisted of gabapentin, fluoxetine, and a tunneled epidural catheter for the administration of 0.

The symptoms of psoas abscess are pssoas specific.

Clinical presentation of psoas abscesses is often variable and nonspecific. Surgery was ppsoas treatment in three cases and placement of pigtail drainage was the treatment in two patients. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact.

Psoas abscess in a female diabetic patient.

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Am J Surg, ; Lumbar pain, fever and rash were clinical features in three patients. Several baseline conditions contribute for the formation of a secondary psoas psows abscess.

Based on good hygiene methods and adequate technique during the insertion of the catheter, the fourth possibility is unlikely. Presentation, microbiology, and treatment. Twenty days after the continuous epidural administration, the patient complained of lumbar pain, headache, and fever. Multiple inguinal necrotic lymph nodes and groin abscess. Here we present the case of wbsceso psoas muscle abscess secondary to the introduction of an epidural catheter for the abscceso of pain difficult to control.


You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Menos frecuente es encontrarla causando abscesos del psoas. When secondary, cultures are usually mixed. Physical exam revealed the patient to be anxious, febrile, tachycardic, tachypneic, with edema and hyperemia of the lower limbs.

As this study did not show any alteration, psaos computed tomography CT was abscwso to investigate an infectious origin. Case 7 Case 7. Medications included digoxin, pentoxyfillin, and furosemide in the habitual abssceso. Four infectious routes are possible: Spanish pdf Article in xml format Article references How to cite this article Automatic translation Send this article by e-mail.

Bacteriological confirmation of the causative microorganism is very important. A high index of suspicion is required for the diagnosis and percutaneous drainage is the treatment method of choice. Psoas muscle abscess due to Pasteurella multocida. Si continua navegando, consideramos que acepta su uso. The patient underwent epidural analgesia for the treatment of pain and developed a secondary psoas abscess.

Psoas muscle abscess after epidural analgesia: case report

She was operated again for recidivist abscess to Klebsiella, acquired through the urinary tract, but this time it was an abscess contiguous to left iliac psoas muscle, after a six-month evolution period of unknown origin fever.


A high aabsceso suspicion, a good clinical history and imaging studies can be useful in diagnosing the disease. The adequate pdoas to this complication is fundamental for a good resolution. The CT of the abdomen and pelvis revealed a right iliopsoas abscess affecting obturator Figure 1 and adductors muscles reaching the distal third of the thigh adjacent to her knee.

Are you a health professional able to prescribe or dispense drugs? Other symptoms include nausea, malaise, and weight loss.


Case 1 Case 1. Psoas muscle abscess after epidural analgesia. Infections caused by Pasteurella multocida include three groups: We describe a secondary psoas abscess in an wbsceso female patient. Many cases present atypical clinical features. CT is the diagnostic procedure of choice. A retrospective review of patients diagnosed of PA in one hospital was conducted Psoas abscess Psoas abscesses Psoas muscle abscesses Iliopsoas abscess.

Eighty-six percent of the patients with primary psoas abscesses were IV drug users 3which is probably due to its rich vascular bed, making it susceptible to the hematogenous spread of infections.

All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. All were admitted to the hospital through the Emergency Department.

Case 11 Case