Case Report
A female presenting with prolonged fever, weakness, and pain in the bilateral pelvic region: a case report
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* Corresponding author: Beyazit Zencirci bzencirci@fastmail.fm
1 Department of Surgery, Mostas Private Health Hospital, Kahramanmaras, Turkey
2 Department of Anesthesiology and Reanimation, Mostas Private Health Hospital, Kahramanmaras, Turkey
Cases Journal 2009, 2:194 doi:10.1186/1757-1626-2-194
Published: 16 November 2009Abstract
Introduction
Psoas abscess, a collection of pus in the iliopsoas compartment that has traditionally been classified as primary and secondary according to its origin.
Case presentation
48-year-old Turkish female presented to the department with fever, weakness and pain in the bilateral pelvic region. In contrast abdominal magnetic resonance, a collection compatible with the hyperintense abscess was observed in the right and left ilipsoas muscles. It was decided to simultaneously drain both abscesses of the case who had been using oral and intravenous broad-spectrum antibiotics for two months. No factors were detected in the microbiological reviews made on the abscess fluid of the operated case. The case was also examined in terms of tuberculosis and Crohn's disease and no findings were encountered to rise suspicions of such diseases.
Conclusion
An abscess of the psoas muscle was a rare entity. However, with the increased use of computed tomography scans to evaluate patients with unknown foci of sepsis, psoas abscesses now are diagnosed and reported more frequently. What should be done after diagnosis are, if possible, defining the infection factor, selecting the appropriate antibiotics and draining the abscess openly or percutaneously.