The psoas muscle is closely adjacent to organs such as kidneys, sigmoid colon, jejunum,
appendix, pancreas, abdominal aorta, and ureter [
[1]
]. Iliopsoas abscess (IPA) is an uncommon infective clinical condition, often with
nonspecific signs and symptoms. IPA is classified based on its origin, with primary
IPA thought to be triggered by an unrecognized staphylococcal bacteremia, and secondary
IPA caused by an underlying condition or disease, or spread of infection subsequent
to surgery [
[2]
]. Symptoms of IPA vary due to the location of the psoas muscle, but the classical
clinical presentation includes fever, back pain and difficulty ambulating [
[2]
]. Delays in diagnosis may lead to increased morbidity and mortality. Modern imaging
techniques such as ultrasonography, computed tomography (CT) and magnetic resonance
imaging (MRI) are often used to confirm IPA diagnosis. There is no uniform treatment
strategy for IPA, however therapy usually consists of broad-spectrum antibiotics,
often combined with percutaneous or surgical drainage [
[3]
]. Our study objectives were to assess the epidemiology, risk factors, clinical features,
and prognosis of patients presenting to emergency department (ED) with IPA.Keywords
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References
- An easily overlooked presentation of malignant psoas abscess: hip pain.Case Rep Orthop. 2015; 2015 ([Epub 2015 Jan 22]): 410,872
- Features and treatment modality of iliopsoas abscess and its outcome: a 6-year hospital-based study.BMC Infect Dis. 2013; 13: 578
- Management and treatment of iliopsoas abscess.Arch Surg. 2009; 144: 946-949
- Psoas abscess: evaluation of 15 cases and review of the literature.J Urol Surg. 2014; 1: 32-35
Article Info
Publication History
Published online: May 15, 2018
Accepted:
May 13,
2018
Received:
April 3,
2018
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
